| NPI | 1720040629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LANDOR Director Officer 718-793-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 184552) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 184552) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2022-07-21 |