| NPI | 1588157846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LEE Owner/Authorized Official 718-460-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |