| NPI | 1265484612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD SCANLON Owner/Doctor 212-677-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY N002961) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-06-04 |