| NPI | 1235863903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE VELASQUEZ Director 201-243-7587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| 305S00000X Point of Service | |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2022-07-13 |