NPI 1275810533

Long Island Fertility, PLLC

Organisation Clinical Medical Laboratory Melville, NY

Practice location

Address: 8 Corporate Center Dr Suite 101, Melville, NY 11747-3193
Phone: (631) 752-0606
Fax: (631) 331-1332

Authorised official

Name: Diane Ravech
Title: Vice President, Managed Care
Phone: (860) 678-3428

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 33D1081165 (NY)

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Registry record

NPI: 1275810533
Entity type: Organization
NPI issued: 14 Nov 2011
Record last updated: 14 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.