| NPI | 1639605991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PO CHENG CHU Owner 718-808-3431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: NY 257725) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-08 |