| NPI | 1629061791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL C ELDER Medical Director Of Operations 315-470-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 174465) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-17 |