Organization
GALLERIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA FUKSINA MD (PRESIDENT)
(212) 644-4300
Entity
Organization
Contact information
Practice address
115 E 57TH ST, SUITE 610, NEW YORK, NY 10022-2049
(212) 644-4300
Mailing address
115 E 57TH ST, SUITE 610, NEW YORK, NY 10022-2049
(212) 644-4300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
195930
NY
207R00000X
Internal Medicine Physician
Primary
222934
NY
208600000X
Surgery Physician
091891
NY
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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