# GALLERIA MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871885574
- **Authorized official:** DR. NATASHA FUKSINA MD (PRESIDENT)
- **Authorized official phone:** (212) 644-4300

## Contact information

- **Practice address:** 115 E 57TH ST, SUITE 610, NEW YORK, NY 10022-2049
- **Practice address phone:** (212) 644-4300
- **Mailing address:** 115 E 57TH ST, SUITE 610, NEW YORK, NY 10022-2049
- **Mailing address phone:** (212) 644-4300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 195930 | NY | — |
| 207R00000X | Internal Medicine Physician | 222934 | NY | Yes |
| 208600000X | Surgery Physician | 091891 | NY | — |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 05/12/2011