| NPI | 1275006025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOON MO MYUNG Owner 718-445-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |