| NPI | 1073236782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAH MOHAMMAD GIASHUDDIN Medical Director 917-376-5739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |