Organization
SAN ROMAN FERTILITY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL SAN ROMAN (OWNER)
(631) 500-2626
Entity
Organization
Contact information
Practice address
5225 RTE 347 STE 43, PORT JEFFERSON STATION, NY 11776-2060
(631) 500-2626
(631) 516-3647
Mailing address
5225 RTE 347 STE 43, PORT JEFFERSON STATION, NY 11776-2060
(631) 500-2626
(631) 516-3647
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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