Provider Demographics
NPI:1659823680
Name:FERTILITY LAB SCIENCES OF NEW YORK
Entity Type:Organization
Organization Name:FERTILITY LAB SCIENCES OF NEW YORK
Other - Org Name:CCRM NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-290-8100
Mailing Address - Street 1:810 SEVENTH AVENUE
Mailing Address - Street 2:FLOOR 21
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-290-8100
Mailing Address - Fax:212-239-6500
Practice Address - Street 1:810 SEVENTH AVENUE
Practice Address - Street 2:FLOOR 21
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-290-8100
Practice Address - Fax:212-239-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility