| NPI | 1790287209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKOS KOUTSOS Owner 917-335-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |