Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 215225 | NY |
NPI | 1346323805 |
---|---|
Provider Name | Dr. Aleksandr M. Fuks |
First Address | New York, NY 10022 |
Second Address | New York, NY 10029-7404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02324752 | (05) | NY |