Provider Demographics
NPI:1518135730
Name:BNYLAB.COM, INC
Entity Type:Organization
Organization Name:BNYLAB.COM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASECHNIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-766-8883
Mailing Address - Street 1:2882 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2602
Mailing Address - Country:US
Mailing Address - Phone:718-766-8883
Mailing Address - Fax:775-305-4723
Practice Address - Street 1:2882 W 15TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2602
Practice Address - Country:US
Practice Address - Phone:718-766-8883
Practice Address - Fax:775-305-4723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPENDING261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile