Individual
ALICIA KNIGHT-DEBRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119-40 METROPOLITAN AVE, KEW GARDENS, NY 11415
(718) 849-0839
(718) 849-5032
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-8366
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
191569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01723899
—
NY
Enumeration date
04/08/2006
Last updated
02/14/2014
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