| NPI | 1861649519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADARSH VIJAY MUDGIL President 631-334-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2025-05-29 |