Organization
NASSAU PATHOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIZA HONARVAR M.D. (PRESIDENT)
(631) 454-4080
Entity
Organization
Contact information
Practice address
32 JOHN BEAN CT, SUITE 202, PORT WASHINGTON, NY 11050-4629
(631) 454-4080
(631) 454-4088
Mailing address
PO BOX 10, ROSLYN HEIGHTS, NY 11577-0010
(631) 454-4080
(631) 454-4088
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1175161
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1175161
LICENSE
NY
Enumeration date
01/31/2007
Last updated
08/22/2020
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