| Doctor Name: | MS. VICKI DENISE KNIGHT |
| NPI Number: | 1194181149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LMCH |
| License Number: | 003278 |
| Business Practice Address: | 5505 Nesconset Hwy, Suite 207 Psychotherapy & Social Wrok Concepts Mt. Sinai, NY - 11766 |
| Business Phone Number: | 6315096210 |
| Business Fax Number: | 6315096212 |
| Mailing Address: | Po Box 1460, CENTRAL ISLIP |
| State: | NY |
| Postal Code: | 11722 |
| Phone Number: | 5165895792 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2016 |
| NPI Last Update Date: | 01/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 003278 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |