Provider Demographics
NPI:1477299782
Name:FIDI FERTILITY SERVICES, P.C.
Entity Type:Organization
Organization Name:FIDI FERTILITY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:DIMITRIOS
Authorized Official - Last Name:KOFINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-348-4000
Mailing Address - Street 1:65 BROADWAY
Mailing Address - Street 2:STE 1400
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10006
Mailing Address - Country:US
Mailing Address - Phone:212-348-4000
Mailing Address - Fax:212-348-4001
Practice Address - Street 1:65 BROADWAY
Practice Address - Street 2:STE 1400
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10006
Practice Address - Country:US
Practice Address - Phone:212-348-4000
Practice Address - Fax:212-348-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty