| NPI | 1609388289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL DAVID TEITELBAUM Managing Partner & CEO 845-703-6999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-01-04 |