Organization
ASTRACLINICALLABORATORYINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELEANOR REYES BARISO MTASCP (PRESIDENT)
(718) 592-8948
Entity
Organization
Contact information
Practice address
5816 JUNCTION BLVD, F3, REGO PARK, NY 11373-5155
(718) 592-8948
(718) 592-8949
Mailing address
5816 JUNCTION BLVD, F3, REGO PARK, NY 11373-5155
(718) 592-8948
(718) 592-8949
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D0713273
NY
Other
Enumeration date
03/07/2007
Last updated
05/29/2008
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