| NPI | 1770592230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. ENGELLENNER Medical Director 631-376-4975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 182397) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-09-12 |