Fukshansky, Mikhail

Fukshansky, Mikhail is an individual health care provider with primary practice located at 1009 Brighton Beach Ave Ste 2 , Brooklyn NY 11235-5621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fukshansky, Mikhail can be contacted via phone (718) 975-8500.

Contact Information

Primary practice address
1009 Brighton Beach Ave Ste 2 Brooklyn NY 11235-5621
Phone: (718) 975-8500
Fax: (718) 975-8502
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X M0081 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 222207 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M0081 Texas

Profile Details

NPI number 1699882399
LBN Legal business name Fukshansky, Mikhail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699882399 NPPES
Texas MEDICAID 172626701

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