| NPI | 1083975940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA FRANCIS Credentialing Manger 718-920-5292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY COLOA1) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |