| NPI | 1902861958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE ANTHONY AXIOTIS Medical Director 212-683-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-10-18 |