Organization
PARK DIAGNOSTICS LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ABRAHAM MD (MANAGING MEMBER)
(646) 300-2399
Entity
Organization
Contact information
Practice address
12008 131ST ST, SOUTH OZONE PARK, NY 11420-2922
(646) 300-2399
Mailing address
12008 131ST STREET, SO OZONE PARK, NY 11420
(646) 300-2399
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
11/04/2016
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