Organization
PETMAR DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER STALLONE (CEO)
(631) 314-2301
Entity
Organization
Contact information
Practice address
139 CENTRE ST STE 502, NEW YORK, NY 10013-4555
(631) 314-2301
(917) 551-5255
Mailing address
134 ALBANY ST, DEER PARK, NY 11729-1501
(631) 314-2301
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/07/2016
Last updated
07/23/2020
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