| NPI | 1750577201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E LIOTTA Office Manager 631-588-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY 199922) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2009-05-27 |