Provider Demographics
NPI:1740873868
Name:REJUVENATING FERTILITY LI PLLC
Entity type:Organization
Organization Name:REJUVENATING FERTILITY LI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAHER
Authorized Official - Middle Name:O
Authorized Official - Last Name:MERHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-557-9696
Mailing Address - Street 1:380 N BROADWAY FL 1
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-2115
Mailing Address - Country:US
Mailing Address - Phone:203-557-9696
Mailing Address - Fax:
Practice Address - Street 1:380 N BROADWAY FL 1
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2115
Practice Address - Country:US
Practice Address - Phone:203-557-9696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty