| NPI | 1992825772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL DWORKIN Supervisor 516-626-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 3358) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2018-04-11 |