| NPI | 1376828426 |
|---|---|
| Doing Business As | LONG ISLAND IVF |
| Entity Type | Organization |
| Authorized Contact | DIANE RAVECH Vice President, Managed Care 860-678-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |