# PETMAR DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912353038
- **Authorized official:** MR. PETER STALLONE (CEO)
- **Authorized official phone:** (631) 314-2301

## Contact information

- **Practice address:** 139 CENTRE ST STE 502, NEW YORK, NY 10013-4555
- **Practice address phone:** (631) 314-2301
- **Practice address fax:** (917) 551-5255
- **Mailing address:** 134 ALBANY ST, DEER PARK, NY 11729-1501
- **Mailing address phone:** (631) 314-2301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 05/07/2016
- **Last updated:** 07/23/2020