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NPI Code Detail

MEDICARE: ALIX E FLEURY M.D.

MEDICARE:   ALIX E FLEURY  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
1207Q00000XFamily Medicine Physician253440NY
2207WX0009XGlaucoma Specialist (Ophthalmology) Physician0253440NY
3207W00000XOphthalmology Physician253440NY

General Provider Information

NPI Number : 1578652921
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIX E FLEURY M.D.
Provider Business Mailing Address
First Line : 1650 SELWYN AVE
Second Line : SUITE 1C
City : BRONX
State : NY
Zip : 10457-7626
Country : US
Telephone Number : 718-960-2041
Fax Number : 718-960-2045
Provider Business Practice Location Address
First Line : 1650 SELWYN AVE
Second Line : SUITE 1C
City : BRONX
State : NY
Zip : 10457-7626
Country : US
Telephone Number : 718-960-2041
Fax Number : 718-960-2045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 03/31/2022

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Directions to “ ALIX E FLEURY M.D.” Practice Location

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