NPI | 1104810308 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD MINKOWITZ Owner 718-853-6433 |
Organization Subpart ? | No |
Primary Taxonomy | 207ZC0500X Pathology, Cytopathology (Licence: NY 176318) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NY 176318) |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 176318) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 176318) | |
Enumeration Date | 2005-09-02 |
Last Update Date | 2020-08-22 |