| NPI | 1801991914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DELLACERRA VP Managed Care & Revenue Complianc 718-630-7103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 7001019H) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-09-08 |