| NPI | 1184873572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN SANDOVAL Sole Proprieter 718-485-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 60 66418) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2013-02-12 |