White Plains Medical Services PC dba Scarsdale Medical Group
Director
							Dorian L Gravenese, M.D.
			Expiration Date
							Phone Number
							(914) 723-8100
			UID (Facility ID - Site ID)
							Y519-0000
			Site ID
							0000
			City
							Harrison
			CLIA Number
							33D2172557
			Street Address
							550 Mamaroneck Ave
			State
							NY
			Zip Code
							10528
			County
							Westchester
			Country
							United States
			Fax Number
							(914) 219-1920
			Primary Contact
							Janice D'Ippolito
			Contact Phone Number
							(914) 723-8100
			Certificate Type
							PPMP
			Tests
				Potassium Hydroxide (KOH Preps)
							Pregnancy Test (Urine)
					Facility ID
							Y519
			