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General NPI Number Information
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NPI Number | 1942469986
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Entity Type | Organization
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Legal Business Name | EAST COAST FERTILITY, P.C.
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 701 ROUTE 25A SUITE A3
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City | MOUNT SINAI
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State | NY
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Zip | 11766-2050
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Country | US
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Telephone | 631-331-8088
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Fax | 631-331-8725
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Provider Business Mailing Address
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Address Line | 701 ROUTE 25A SUITE A3
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City | MOUNT SINAI
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State | NY
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Zip | 11766-2050
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Country | US
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Telephone | 631-331-8088
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Fax | 631-331-8725
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Authorized Official
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Title or Position | BILLING ADMIN
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Name | DONNA GERACI
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Credential |
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Telephone | 516-605-1060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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