Organization
SPECIALIZED SCREENING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY LUSTBERG (PRESUDENT)
(878) 727-3365
Entity
Organization
Contact information
Practice address
10 SARATOGA DR, JERICHO, NY 11753-1430
(877) 727-3365
(914) 509-5438
Mailing address
10 SARATOGA DR, JERICHO, NY 11753-1430
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33D1092705
NY
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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