| NPI | 1962773507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH YABOH Executive Director 718-327-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY S520) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |