Organization
GREATER NEW YORK FERTILITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT T. BRANDEIS M.D. (SOLE INCORPORATOR/PRESIDENT)
(646) 245-5358
Entity
Organization
Contact information
Practice address
4601 GREENPOINT AVE, SUITE 2D, SUNNYSIDE, NY 11104-1707
(212) 362-4848
(646) 596-8667
Mailing address
PO BOX 204, PLANETARIUM STATION, NEW YORK, NY 10024-0204
(646) 245-5358
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
162235
NY
207VG0400X
Gynecology Physician
Primary
162235
NY
Other
Enumeration date
12/02/2011
Last updated
06/13/2013
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