Organization
STATEN ISLAND REPRODUCTIVE MEDICINE PLLC
Active
Organization
STATEN ISLAND REPRODUCTIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MILLER (FINANCE MANAGER)
(732) 317-8286
Entity
Organization
Contact information
Practice address
1441 SOUTH AVE # 201, STATEN ISLAND, NY 10314-3425
(973) 548-0900
Mailing address
94 OLD SHORT HILLS RD STE 403, LIVINGSTON, NJ 07039-5672
(973) 548-0900
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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