City Medical of Upper East Side PLLC
Director
							Daniel M Frogel, M.D.
			Expiration Date
							Phone Number
							(718) 571-9196
			UID (Facility ID - Site ID)
							Y553-0000
			Site ID
							0000
			City
							Staten Island
			CLIA Number
							33D2173965
			Street Address
							812 Forest Ave
			State
							NY
			Zip Code
							10310
			County
							Richmond
			Country
							United States
			Fax Number
							(718) 571-9216
			Primary Contact
							Ilana Kantor
			Contact Phone Number
							(908) 588-3635
			Certificate Type
							WAIVER
			Tests
				COVID-19 ANTIGEN
							Glucose
							Influenza
							Mononucleosis
							Occult Blood
							Pregnancy Test (Urine)
							HIV, Rapid
							Strep A Test
							Urinalysis
					Facility ID
							Y553
			