MEDICARE: FAKHRY YOUNAN ALEXANDER 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	207VE0102X	Reproductive Endocrinology Physician	135193	NY
2	207V00000X	Obstetrics & Gynecology Physician	135193	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4292688	OTHER	NY	AETNA NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	135193	OTHER	NY	HIP NUMBER
5	DP480	OTHER	NY	OXFORD NUMBER
6	42816	OTHER	NY	US HEALTH NUMBER
7	0038628	OTHER	NY	GHI NUMBER
8	42A961	OTHER	NY	BCBS NUMBER

General Provider Information

NPI Number	:	1477648350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAKHRY YOUNAN ALEXANDER M.D.

Provider Business Mailing Address
First Line	:	97-19 LEFFERTS BLVD
Second Line	:
City	:	RICHMONDHILL
State	:	NY
Zip	:	11419
Country	:	US
Telephone Number	:	718-846-1900
Fax Number	:	718-441-9347

Provider Business Practice Location Address
First Line	:	9719 LEFFERTS BLVD
Second Line	:
City	:	SOUTH RICHMOND HILL
State	:	NY
Zip	:	11419-1235
Country	:	US
Telephone Number	:	718-846-1900
Fax Number	:	718-441-9347

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	11/08/2010

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Directions to “ FAKHRY YOUNAN ALEXANDER M.D.” Practice Location

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