| NPI | 1689794109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY COOPER Admin. Mamanger 212-420-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D0667624) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |