MEDICARE: FAKHRY Y ALEXANDER MD PC

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	174400000X	Specialist	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

General Provider Information

NPI Number	:	1619268307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAKHRY Y ALEXANDER MD PC

Provider Business Mailing 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

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	:	OWNER, DOCTOR
Name	:	FAKHRY Y ALEXANDER
Credential	:	M.D.
Telephone Number	:	718-846-1900

Provider Enumeration Date	:	04/28/2011
Last Update Date	:	06/14/2011

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