| NPI | 1962643304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY E. WEISSBLUTH Medical Director 718-934-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |