| NPI | 1205805934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J VAN DER HEIDE Sole Proprieter 212-772-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 131230) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2010-02-01 |