Southold Family Medicine a Location of Stony Brook Family Medical Grp
Director
							Jarid S Pachter, D.O.
			Expiration Date
							Phone Number
							(631) 734-8742
			UID (Facility ID - Site ID)
							Y512-0000
			Site ID
							0000
			City
							Southold
			CLIA Number
							33D2173066
			Street Address
							44360 County Road 48
			State
							NY
			Zip Code
							11971
			County
							Suffolk
			Country
							United States
			Fax Number
							(631) 734-8745
			Primary Contact
							Isabella Scarpa
			Contact Phone Number
							(631) 297-8889
			Certificate Type
							WAIVER
			Tests
				Bacterial Vaginosis, Rapid
							Drugs of Abuse
							Glycosylated Hemoglobin
							Strep A Test
							Urinalysis
					Facility ID
							Y512
			