Provider Demographics
NPI:1811771371
Name:REPRODUCTIVE WELLNESS MEDICINE, PC
Entity type:Organization
Organization Name:REPRODUCTIVE WELLNESS MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPANTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-605-2626
Mailing Address - Street 1:6720 N SCOTTSDALE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4421
Mailing Address - Country:US
Mailing Address - Phone:503-274-4994
Mailing Address - Fax:
Practice Address - Street 1:300 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-6229
Practice Address - Country:US
Practice Address - Phone:516-605-2626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty