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NPI Code Detail

MEDICARE: FOCUS PATHOLOGY MEDICAL LABORATORY PLLC

MEDICARE: FOCUS PATHOLOGY MEDICAL LABORATORY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory267516NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467938993
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOCUS PATHOLOGY MEDICAL LABORATORY PLLC
Provider Business Mailing Address
First Line : 10 PEARL ST FL 4
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-4611
Country : US
Telephone Number : 914-937-3300
Fax Number : 914-937-3322
Provider Business Practice Location Address
First Line : 10 PEARL ST FL 4
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-4611
Country : US
Telephone Number : 914-937-3300
Fax Number : 914-937-3322
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. EKATERINA CASTANO
Credential : MD
Telephone Number : 914-937-3300
Provider Enumeration Date : 07/18/2018
Last Update Date : 07/18/2018

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