NPI 1083203608
Libra Suites
Practice location
- Address
- 460 E Fordham Rd # 2032, Bronx, NY 10458-5108
- Phone
- (347) 780-4853
Authorised official
- Name
- Roxann Small
- Title
- Owner
- Phone
- (917) 383-5753
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1083203608
- Entity type
- Organization
- NPI issued
- 18 Jan 2021
- Record last updated
- 18 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.