Lindenwood Community Volunteer Ambulance Corps Inc
Director
							Shi Wen Lee, M.D.
			Expiration Date
							Phone Number
							(718) 738-3029
			UID (Facility ID - Site ID)
							Y544-0000
			Site ID
							0000
			City
							Ozone Park
			CLIA Number
							33D2176061
			Street Address
							94-10 133rd Ave
			State
							NY
			Zip Code
							11417
			County
							Queens
			Country
							United States
			Fax Number
							(718) 641-6464
			Primary Contact
							Christopher DeLuca
			Contact Phone Number
							(917) 748-0324
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							Y544
			