Provider Demographics
NPI:1295088250
Name:AMERICAN FERTILITY SERVICES
Entity type:Organization
Organization Name:AMERICAN FERTILITY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOOHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-750-3330
Mailing Address - Street 1:123 WEST 79TH STREET
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-750-3330
Mailing Address - Fax:646-462-3353
Practice Address - Street 1:123 WEST 79TH STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:212-750-3330
Practice Address - Fax:646-462-3353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-16
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0006XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Fertility Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
1831273937OtherOXFORD/UNITED HEALTHCARE
1831273937OtherEMPIRE GOVERMENT PLAN
1831273937OtherCIGNA HEALTHCARE
1831273937OtherAETNA HMO/PPO
1831273937OtherGHI
1831273937OtherEMPIRE BLUE CROSS/BLUE SHIELD