Provider Demographics
NPI:1699934653
Name:EAST COAST FERTILITY, P.C.
Entity type:Organization
Organization Name:EAST COAST FERTILITY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERACI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-605-1060
Mailing Address - Street 1:500 MONTAUK HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795-4418
Mailing Address - Country:US
Mailing Address - Phone:631-661-5437
Mailing Address - Fax:631-661-5436
Practice Address - Street 1:500 MONTAUK HWY
Practice Address - Street 2:SUITE A
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795-4418
Practice Address - Country:US
Practice Address - Phone:631-661-5437
Practice Address - Fax:631-661-5436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty