State of New York
State of New York is a Clinical Medical Laboratory in Staten Island, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
1050 Forest Hill RdStaten Island, NY 10314-6356
Phone: (718) 494-5345
Fax: (718) 494-0694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 7097M040 (NY) |
|---|
Record details
| NPI number | 1962579235 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edmund Jenkins — Lab Director · (718) 494-5236 |
| Other names | Ibr Specialty Clinical Laboratories |
| NPI enumerated | November 29, 2006 |
| Last updated in NPPES | February 25, 2009 |
| Mailing address | 1050 Forest Hill Rd, Staten Island, NY 10314-6356 |
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