Organization
CYTOGENX CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA DUNN PHD (CEO)
(631) 751-0212
Entity
Organization
Contact information
Practice address
1212 ROUTE 25A, SUITE # 1C, STONY BROOK, NY 11790-1919
(631) 751-0212
(631) 751-0944
Mailing address
PO BOX 339, STONY BROOK, NY 11790-1919
(631) 751-0212
(631) 751-0944
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
7948
NY
291U00000X
Clinical Medical Laboratory
800026179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001891800
—
FL
05
—
008025569
—
CT
05
—
02211796
—
NY
05
—
0249360
—
NJ
Enumeration date
11/16/2006
Last updated
10/15/2014
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