Individual
ALLYSSA KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5425
(718) 250-6995
Mailing address
10 STRATFORD RD, APT 7A, BROOKLYN, NY 11218-2746
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006720
NY
Other
Enumeration date
07/22/2015
Last updated
07/30/2015
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