Organization
LONG ISLAND FERTILITY & ENDOCRINOLOGY IVF ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE RAVECH (VICE PRESIDENT, MANAGED CARE)
(860) 678-3428
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, SUITE N216, NEW HYDE PARK, NY 11042-1011
(516) 358-6363
Mailing address
2001 MARCUS AVE, SUITE N216, NEW HYDE PARK, NY 11042-1011
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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