Provider Demographics
NPI:1851763437
Name:ROCHESTER FERTILITY CARE, PC
Entity Type:Organization
Organization Name:ROCHESTER FERTILITY CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MROUEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-453-7760
Mailing Address - Street 1:1561 LONG POND RD STE 410
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4135
Mailing Address - Country:US
Mailing Address - Phone:585-453-7760
Mailing Address - Fax:585-453-7771
Practice Address - Street 1:1561 LONG POND RD STE 410
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4135
Practice Address - Country:US
Practice Address - Phone:585-453-7760
Practice Address - Fax:585-453-7771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204660207VE0102X
NY169179207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty