Individual
MIKHAIL FUKSHANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1009 BRIGHTON BEACH AVE STE 2, BROOKLYN, NY 11235-5621
(718) 975-8500
(718) 975-8502
Mailing address
1009 BRIGHTON BEACH AVE STE 2, BROOKLYN, NY 11235-5621
(718) 975-8500
(718) 975-8502
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
M0081
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
222207
NY
208VP0014X
Interventional Pain Medicine Physician
M0081
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172626701
—
TX
Enumeration date
08/25/2006
Last updated
05/05/2023
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