Individual
ALICIA DETRAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 NEWELL ST, UTICA, NY 13502-5313
(315) 798-9300
(315) 793-8320
Mailing address
807 NEWELL ST, UTICA, NY 13502-5313
(315) 798-9300
(315) 793-8320
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
228220-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02428600
—
NY
Enumeration date
10/20/2005
Last updated
02/11/2013
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