| NPI | 1255468328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA TYLMAN President 718-232-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 8094) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-04-22 |