Commission on Economic Opp for the Greater Capital Region -WIC Program
Director
Deborah A Vasquez, M.D.
Expiration Date
Phone Number
(518) 272-6012
UID (Facility ID - Site ID)
Y418-0000
Site ID
0000
City
Troy
CLIA Number
33D2170049
Street Address
2328 Fifth Ave
State
NY
Zip Code
12180
County
Rensselaer
Country
United States
Fax Number
(518) 205-7624
Primary Contact
Erin Hernandez
Contact Phone Number
(518) 272-6012
Certificate Type
WAIVER
Tests
Community Screening
Hemoglobin
Syphilis Antibodies
Facility ID
Y418