| NPI | 1730397670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIF ADIB FARAG Co Owner 718-948-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-02-07 |