Eastern Vascular LLC
Director
							Michael J Vitti, M.D.
			Expiration Date
							Phone Number
							(718) 792-8115
			UID (Facility ID - Site ID)
							F289-0000
			Site ID
							0000
			City
							Bronx
			CLIA Number
							33D2261889
			Street Address
							3219 E Tremont Ave
			State
							NY
			Zip Code
							10461
			County
							Bronx
			Country
							United States
			Fax Number
							(718) 792-2652
			Primary Contact
							Nadia Conte
			Contact Phone Number
							(718) 794-1292
			Certificate Type
							WAIVER
			Tests
				Glucose
							Potassium
							Pregnancy Test (Urine)
					Facility ID
							F289