| NPI | 1144212747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ENGELLENNER Director Of Operations 631-376-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 182397) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2018-10-29 |