| NPI | 1508002445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEPHEN CRESPIN Owner 917-721-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 60247944) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2017-11-08 |