| NPI | 1568008118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE WAGNER Revenue Cycle Director 631-715-3266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-03-09 |