| NPI | 1134213598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADIA MALIK Administration 718-698-5461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY PFI3807) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-09-24 |