New York Immunology Laboratory, LLC

NPI #1093971871 in Calverton, New York

Provider Information

NPI Number
1093971871
Entity Type
Organization
Organization Name
New York Immunology Laboratory, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 31, 2008
Last Updated
Jul 31, 2008

Practice Location

Address
4603 MIDDLE COUNTRY RD
Address 2
SUITE 1-23
ZIP Code
11933-4104
Phone
(917) 518-1983

Authorized Official

Name
DR. DJAMSHID SHIRAZIAN, M.P.H., PH.D.
Title
DIRECTOR
Phone
(917) 518-1983

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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