| NPI | 1215167713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA RIVERA Medical Board Director 718-270-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 237685) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NY 237685) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |