Provider Demographics
NPI:1205067949
Name:AFFORDABLE FERTILITY MEDICAL CARE PC
Entity type:Organization
Organization Name:AFFORDABLE FERTILITY MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND SOLE STOCKHOLDER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:TUROVER
Authorized Official - Last Name:BRANDEIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-245-5358
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:PLANETARIUM STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-0204
Mailing Address - Country:US
Mailing Address - Phone:646-245-5358
Mailing Address - Fax:646-596-8667
Practice Address - Street 1:11015 71ST RD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4951
Practice Address - Country:US
Practice Address - Phone:646-245-5358
Practice Address - Fax:718-268-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162235-1207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty