Healthcare Provider Details

I. General information

NPI: 1922442375
Provider Name (Legal Business Name): ALEKSEY FIKSMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2013
Last Update Date: 10/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 OCEAN PKWY APT B29
BROOKLYN NY
11235-8439
US

IV. Provider business mailing address

3100 OCEAN PKWY APT B29
BROOKLYN NY
11235-8439
US

V. Phone/Fax

Practice location:
  • Phone: 347-930-7815
  • Fax:
Mailing address:
  • Phone: 347-930-7815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01077034A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01077034A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: