Doctor Name: | ALICIA KNIGHT-DEBRADY |
NPI Number: | 1154384469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 191569 |
Business Practice Address: | 119-40 Metropolitan Ave Kew Gardens, NY - 11415 |
Business Phone Number: | 7188490839 |
Business Fax Number: | 7188495032 |
Mailing Address: | 80 Marcus Dr, MELVILLE |
State: | NY |
Postal Code: | 117474230 |
Phone Number: | 6313918366 |
Fax Number: | 6314544163 |
NPI Enumeration Date: | 04/08/2006 |
NPI Last Update Date: | 02/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 191569 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |