Provider First Line Business Practice Location Address:
4 SKYLINE DRIVE
Provider Second Line Business Practice Location Address:
UNIVERSITY PATHOLOGY, P.C.
Provider Business Practice Location Address City Name:
HAWTHORNE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-345-3315
Provider Business Practice Location Address Fax Number:
914-345-3064
Provider Enumeration Date:
07/28/2006