Infertility Associates
Specialist in North Massapequa, NY. Organization (NPI-2).
NPI number1104845346
StatusActive
Last updated in NPPESMay 6, 2011
Details
- NPI
- 1104845346
- Entity type
- Organization (NPI-2)
- Legal business name
- Infertility Associates
- Organization subpart
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- May 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 168820 | NY | Yes |
Practice location
1130 North BroadwayLower Level
North Massapequa, NY 11758
Phone 516-799-3462 · Fax 516-799-5930
Mailing address
Po Box 15501130 North Broadway
North Massapequa, NY 11758
Phone 516-799-3462 · Fax 516-799-5930
Authorized official
Laurence F Mack
President
5167993462
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