Provider Demographics
NPI:1477648350
Name:ALEXANDER, FAKHRY YOUNAN (MD)
Entity Type:Individual
Prefix:
First Name:FAKHRY
Middle Name:YOUNAN
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97-19 LEFFERTS BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHMONDHILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419
Mailing Address - Country:US
Mailing Address - Phone:718-846-1900
Mailing Address - Fax:718-441-9347
Practice Address - Street 1:9719 LEFFERTS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-1235
Practice Address - Country:US
Practice Address - Phone:718-846-1900
Practice Address - Fax:718-441-9347
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY135193207VE0102X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY005524838Medicaid
NY4292688OtherAETNA NUMBER
NY1-00552483Medicaid
NY135193OtherHIP NUMBER
NYDP480OtherOXFORD NUMBER
NY42816OtherUS HEALTH NUMBER
NY0038628OtherGHI NUMBER
NY42A961OtherBCBS NUMBER
NYD03985Medicare UPIN
NY1-00552483Medicaid