| NPI | 1285771022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIZA HONARVAR President 631-454-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 1175161) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |