Provider Demographics
NPI:1578937496
Name:NYMHB FERTILITY SERVICES, P.C.
Entity Type:Organization
Organization Name:NYMHB FERTILITY SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GEOGE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KOFINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-780-5065
Mailing Address - Street 1:65 BROADWAY FLOOR 14
Mailing Address - Street 2:
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 FLOOR 14
Practice Address - Street 2:
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:2015-11-16
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33D0979838291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory