# MOUNT SINAI SCHOOL OF MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mount Sinai Queens Faculty Practice Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215281910
- **Authorized official:** DR. ALEKSANDR M FUKS MD (DIRECTOR)
- **Authorized official phone:** (718) 883-3000

## Contact information

- **Practice address:** 8268 164TH ST RM B265, JAMAICA, NY 11432-1121
- **Practice address phone:** (718) 883-3000
- **Practice address fax:** (718) 883-6129
- **Mailing address:** 8268 164TH ST RM B265, JAMAICA, NY 11432-1121
- **Mailing address phone:** (718) 883-3000
- **Mailing address fax:** (718) 883-6129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/01/2012
- **Last updated:** 01/22/2013