Healthcare Provider Details

I. General information

NPI: 1104875921
Provider Name (Legal Business Name): REPRODUCTIVE MEDICINE ASSOCIATES OF NY, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 MADISON AVE 10TH FLOOR
NEW YORK NY
10022-1009
US

IV. Provider business mailing address

635 MADISON AVE 10TH FLOOR
NEW YORK NY
10022-1009
US

V. Phone/Fax

Practice location:
  • Phone: 212-756-5777
  • Fax: 212-756-5770
Mailing address:
  • Phone: 212-756-5777
  • Fax: 212-756-5770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State

VIII. Authorized Official

Name: DORIS SANDLER
Title or Position: ADMINISTRATOR
Credential:
Phone: 212-756-5766