| NPI | 1104810308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD MINKOWITZ Owner 718-853-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 176318) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 176318) |
| 291U00000X Clinical Medical Laboratory (Licence: NY 176318) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 176318) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2025-09-11 |