| NPI | 1629655295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE WU Authorized Official/General Manager 718-213-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2021-03-29 |