| NPI | 1275810533 |
|---|---|
| Other Name | LABORATORY AT LONG ISLAND FERTILITY, PLLC |
| Entity Type | Organization |
| Authorized Contact | DIANE RAVECH Vice President, Managed Care 860-678-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D1081165) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |