Upstate Family and Preventive Medicine Inc
Director
							Clyde H Satterly, M.D.
			Expiration Date
							Phone Number
							(315) 551-6001
			UID (Facility ID - Site ID)
							Y526-0000
			Site ID
							0000
			City
							Camillus
			CLIA Number
							33D2173185
			Street Address
							208 Township Blvd - Family Medicine
			State
							NY
			Zip Code
							13031
			County
							Onondaga
			Country
							United States
			Fax Number
							(315) 434-5301
			Primary Contact
							Michelle Fiesinger
			Contact Phone Number
							(315) 551-6023
			Certificate Type
							WAIVER
			Tests
				Drugs of Abuse
							Glucose
							Glycosylated Hemoglobin
							Hemoglobin
							Influenza
							Occult Blood
							Pregnancy Test (Urine)
							Strep A Test
							Urinalysis
					Facility ID
							Y526
			