FPA HOSPITAL BASED
Medical Practice at Madison Ave, New York, NY

License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Blood Banking & Transfusion Medicine
License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Cytopathology
License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Forensic Pathology
License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Immunopathology
License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Neuropathology
License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Molecular Genetic Pathology
License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
License number
New York CLIA 33D1051889
Category
Medical Practice
Type
Pediatric Pathology
Owner
Name: MS. CRYSTAL MACNEILL MBA
Title: VP, CBO DIRECTOR
Phone: (212) 241-6228
Address
Address
1468 Madison Ave, New York, NY 10029
National Provider ID: 1962743575
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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