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MS. ALICIA RITA BRANDALISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
87 08 JUSTICE AVE, 1F, ELMHURST, NY 11373-4576
(718) 476-8900
(718) 779-1583
Mailing address
87 08 JUSTICE AVE, 1F, ELMHURST, NY 11373
(718) 476-8900
(718) 779-1583

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
137494
NY

Other

Enumeration date
10/12/2006
Last updated
12/15/2009
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