NPI: 1023675220
Provider Name: NEW YORK FERTILITY MEDICAL PRACTICE, PLLC
Former Legal Business Name: SHADY GROVE FERTILITY NEW YORK MEDICAL PROFESSIONALS, PLLC
Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization
Specialization: Reproductive Endocrinology
CLIA Number: 21D0969879
Address:
110 EAST 60TH STREET
5TH FLOOR
NEW YORK, NY
ZIP 10022
Phone: (888) 761-1967
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NEW YORK FERTILITY MEDICAL PRACTICE, PLLC is a reproductive endocrinology obstetrics gynecology in New York, NY. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. NEW YORK FERTILITY MEDICAL PRACTICE, PLLC NPI is 1023675220. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Shady Grove Fertility New York Medical Professionals, Pllc.
The provider's business location address is:
110 EAST 60TH STREET
5TH FLOOR
NEW YORK, NY
ZIP 10022-688
Phone: (888) 761-1967
The provider's authorized official is Shelly Shapiro .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 545-1407.
The CLIA number assigned to this NPI record is 21D0969879 - independent with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 5/22/2019 and was last updated on 8/13/2019.