Organization
ASTRABIO, INC
Active
Organization
ASTRABIO, INC
Active
Other names
Bio Science Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
WILLOWMENIA I COSTA (PRESIDENT)
(516) 200-9974
Entity
Organization
Contact information
Practice address
95 SEAVIEW BLVD, SUITE 204, PORT WASHINGTON, NY 11050-4619
(516) 200-9974
(516) 200-9980
Mailing address
95 SEAVIEW BLVD, SUITE 204, PORT WASHINGTON, NY 11050-4619
(516) 200-9974
(516) 200-9980
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PFI 2148
NY
Other
Enumeration date
12/28/2012
Last updated
02/27/2014
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