Provider profile · NPI 1508002445
133 East Medical Pc
Pathology, Anatomic Pathology & Clinical Pathology · New York, NY · NPI 1508002445 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Organization
Primary specialty
Pathology, Anatomic Pathology & Clinical Pathology
Enumerated
Dec 24, 2008
License(s)
60247944 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 270 | Massapequa Park, NY 11762-0270 | 631-264-2035 |
| LOCATION | 252 E 61ST ST APT 1DN | New York, NY 10065-8559 | 631-264-2035 |
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