Knight-Debrady, Alicia

Knight-Debrady, Alicia is an individual health care provider with primary practice located at 119-40 Metropolitan Ave , Kew Gardens NY 11415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Knight-Debrady, Alicia can be contacted via phone (718) 849-0839.

Contact Information

Primary practice address
119-40 Metropolitan Ave Kew Gardens NY 11415
Fax: (718) 849-5032
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 191569 New York

Profile Details

NPI number 1154384469
LBN Legal business name Knight-Debrady, Alicia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Feb 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154384469 NPPES
New York MEDICAID 01723899

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