| NPI | 1639255763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO SANTOS Associate Director Pathology 718-579-5848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY S04907830001492) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |