GPDDC LLC
Director
							Mihaela I Vladutiu, M.D.
			Expiration Date
							Phone Number
							(212) 364-7090
			UID (Facility ID - Site ID)
							Y362-0000
			Site ID
							0000
			City
							New York
			CLIA Number
							33D2169378
			Street Address
							2 Bennett Ave - 2nd Floor
			State
							NY
			Zip Code
							10033
			County
							New York
			Country
							United States
			Fax Number
							(212) 364-7091
			Primary Contact
							Gurjeet Parmar
			Contact Phone Number
							(212) 979-3237
			Certificate Type
							WAIVER
			Tests
				Glucose
							Pregnancy Test (Urine)
					Facility ID
							Y362
			