Organization
NEW YORK UNIVERSITY
Active
Organization
NEW YORK UNIVERSITY
Active
Other names
NYU College of Dentistry, Diagnostic Pathology Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN DORPH (EXECUTIVE VP, FINANCE AND IT)
(212) 992-8282
Entity
Organization
Contact information
Practice address
345 E 24TH ST, ROOM 844, NEW YORK, NY 10010-4020
(212) 998-9561
(212) 995-4654
Mailing address
345 E 24TH ST, ROOM 844, NEW YORK, NY 10010-4020
(212) 998-9561
(212) 995-4654
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA33D0653344
NY
Other
Enumeration date
05/15/2007
Last updated
10/31/2011
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