Organization
PWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KEARNEY CGC (VP, GENETICS, CLINICAL SERVICES)
(888) 362-4321
Entity
Organization
Contact information
Practice address
123 W 18TH ST, 8TH FLOOR, NEW YORK, NY 10011-4127
(888) 362-4321
Mailing address
123 WEST 18TH ST, 8TH FLOOR, NEW YORK, NY 10011
Taxonomy
Speciality
Code
Description
License number
State
261QG0250X
Genetics Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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