| NPI | 1962479097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE LEYKIND Principle 718-669-8297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800020218) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2009-01-06 |