| NPI | 1700022522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOISE A GORIS President 718-220-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 190663) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 190663) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2023-03-07 |