— a ee: 67 Ellen S Marmur MD SHULIAK, KARYNA 12 East 87th Street Ste 1A 301 EAST 66TH STREET APT 8H New York NY 10128 NEW YORK NY 10065 TE OTT be UT rb tb Patient Details Specimen Details Physician Details 09/13/2018 0000 Local E MARMUR 09/14/2018 F 09/14/2018 | 09/14/2018 0819 ET FY Clinical Info: SRC: For inquiries, the physician may contact Branch: 800-631-5250 Lab: 800-631-5250 Date Issued: 09/14/18 0819 ET FINAL REPORT Page 1 of 1 This docum if you have received this document in error, please call 800-631-5250 All Rights Ri t contains private and confidential health information protected by state and federal law 1995-2018 Labo ration of Am Holdings rsion: 1.00 erprise Repo' EFTA00522659