| NPI | 1205999067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DENNIS FREEDMAN Director 718-670-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 2473) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |