Healthcare Provider Details

I. General information

NPI: 1598369522
Provider Name (Legal Business Name): REJUVENATING FERTILITY NY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W 57TH ST STE 208
NEW YORK NY
10019-3149
US

IV. Provider business mailing address

315 W 57TH ST STE 208
NEW YORK NY
10019-3149
US

V. Phone/Fax

Practice location:
  • Phone: 203-557-9696
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0006X
TaxonomyAmbulatory Fertility Facility
License Number
License Number State

VIII. Authorized Official

Name: ZAHER MERHI
Title or Position: OWNER
Credential: MD
Phone: 718-801-9153