| NPI | 1194896936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA PESTUN Billing Manager 718-886-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0899550) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |