Organization
QUEENS MEDICAL LABORATORY
Active
Organization
QUEENS MEDICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL DWORKIN (SUPERVISOR)
(516) 626-4101
Entity
Organization
Contact information
Practice address
43 MINEOLA AVE, ROSLYN HEIGHTS, NY 11577-1033
(516) 626-4101
(516) 626-4104
Mailing address
1300 UNION TPKE STE 204, NEW HYDE PARK, NY 11040-1759
(516) 626-4101
(516) 626-4104
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3358
NY
Other
Enumeration date
03/29/2007
Last updated
04/11/2018
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