Provider Demographics
NPI:1588835763
Name:ALBANY IVF-FERTILITY AND GYNECOLOGY CENTER
Entity Type:Organization
Organization Name:ALBANY IVF-FERTILITY AND GYNECOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-434-9759
Mailing Address - Street 1:349 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12204-1032
Mailing Address - Country:US
Mailing Address - Phone:518-434-9759
Mailing Address - Fax:518-436-9822
Practice Address - Street 1:349 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12204-1032
Practice Address - Country:US
Practice Address - Phone:518-434-9759
Practice Address - Fax:518-436-9822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty