| NPI | 1609447630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD V GRAZI Medical Director 718-513-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Additional Taxonomies | 261QA0006X Clinic/Center Ambulatory Fertility Facility |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-03-02 |