| NPI | 1700180684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC B GORMAN President/Owner 518-562-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: NY 245122) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |