| NPI | 1225134869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA ALEXANDROVNA DIOUKALOVA Medical Director 718-951-0333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 214274) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-10-04 |