LONG ISLAND FERTILITY PLLC NPI 1376828426

NPI Information

  • NPI: 1376828426
  • Provider Name: LONG ISLAND FERTILITY, PLLC
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Organization
  • Doing Business As: LONG ISLAND IVF
  • Address: 8 CORPORATE CENTER DR
    SUITE 101
    MELVILLE, NY
    ZIP 11747
  • Phone: (631) 752-0606

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NPI Details

LONG ISLAND FERTILITY, PLLC is a reproductive endocrinology obstetrics gynecology in Melville, NY. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. LONG ISLAND FERTILITY, PLLC NPI is 1376828426. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Long Island Ivf.

The provider's business location address is:

8 CORPORATE CENTER DR
SUITE 101
MELVILLE, NY
ZIP 11747-193
Phone: (631) 752-0606
Fax: (631) 331-1332

The provider's authorized official is Diane Ravech .
The authorized official title is Vice President, Managed Care and has the following contact phone number (860) 678-3428.

The enumeration date for this NPI number is 10/19/2011 and was last updated on 10/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133D1081165OTHERNEW YORKCLIA

What is NPI?

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This page was last updated on: 11/21/2025

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