| NPI | 1518039254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL VELAZQUEZ Sole Proprietor 718-302-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NM 178765) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-04-02 |