| NPI | 1104179829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHER ALMOUDARRES Owner 718-833-5886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-06-06 |