| NPI | 1467485789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL FRASER-FARMER Sole Proprieter 631-698-3258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 221440) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2012-02-08 |