MEDICARE: DR. ALEXANDER SHEKHTER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	198143	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4383493	OTHER	NY	ECFMG NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	198143	OTHER	NY	STATE LICENSE NUMBER

General Provider Information

NPI Number	:	1316924715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER SHEKHTER M.D.

Provider Business Mailing Address
First Line	:	3111 OCEAN PKWY
Second Line	:	APT 7B
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8400
Country	:	US
Telephone Number	:	718-332-7916
Fax Number	:	718-332-7918

Provider Business Practice Location Address
First Line	:	2965 OCEAN PKWY
Second Line	:	SUITE 304
City	:	BROOKLYN
State	:	NY
Zip	:	11235-8014
Country	:	US
Telephone Number	:	718-332-7916
Fax Number	:	718-332-7918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	03/07/2023

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