Organization
ENZO CLINICAL LABS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIETER SCHAPFEL M.D. (CHIEF SCIENTIFIC OFFICER/MEDICAL DI)
(631) 755-5500
Entity
Organization
Contact information
Practice address
60 EXECUTIVE BLVD, FARMINGDALE, NY 11735-4710
(631) 755-5566
(631) 755-5566
Mailing address
60 EXECUTIVE BLVD, FARMINGDALE, NY 11735-4710
(631) 755-5500
(631) 755-5566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21685150A050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00635754
—
NY
01
—
0086442
GROUP HEALTH INC.
—
01
—
1000002976
AFFINITY HEALTH
—
01
—
162350
ELDER PLAN
—
01
—
690001935
MEDICARE RAILROAD
—
01
—
EZNOCLINICAL
CMO MONTEFIORE
—
01
—
NY2026
HEALTHNET
—
Enumeration date
09/13/2006
Last updated
07/21/2022
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