Organization
IMMUNE THERAPY PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA L HAYES PH.D. (LABORATORY DIRECTOR)
(718) 556-5001
Entity
Organization
Contact information
Practice address
25 MORNINGSTAR RD, STATEN ISLAND, NY 10303-2808
(718) 556-5001
Mailing address
81 HARBOR VIEW PL, STATEN ISLAND, NY 10305-3909
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PENDING
NY
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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