Individual
KYWANNA ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 DAKOTA DR STE 105, NEW HYDE PARK, NY 11042-1136
(516) 608-6800
Mailing address
1 DAKOTA DR STE 105, NEW HYDE PARK, NY 11042-1136
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
327732
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
08/27/2024
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