| NPI | 1639459159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG SUNG KIM Director 718-240-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |