Freeport Fire Department
Director
							Neil B Kirschen, M.D.
			Expiration Date
							Phone Number
							(516) 377-2190
			UID (Facility ID - Site ID)
							Y410-0000
			Site ID
							0000
			City
							Freeport
			CLIA Number
							33D2170951
			Street Address
							15 Broadway
			State
							NY
			Zip Code
							11520
			County
							Nassau
			Country
							United States
			Fax Number
							(516) 377-2199
			Primary Contact
							Nicholas J LaBorne
			Contact Phone Number
							(646) 773-0703
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							Y410
			