Provider First Line Business Practice Location Address:
1 EDGEWATER PLAZA STATEN ISLAND
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PATHOLOGY AND LABORATORY MEDICINE
Provider Business Practice Location Address City Name:
NEW YORK CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-226-5035
Provider Business Practice Location Address Fax Number:
718-226-1019
Provider Enumeration Date:
04/03/2025