Provider Demographics
NPI:1265234363
Name:DUCKWORTH, ALECIA DEKOTE (RN)
Entity type:Individual
Prefix:MS
First Name:ALECIA
Middle Name:DEKOTE
Last Name:DUCKWORTH
Suffix:
Gender:
Credentials:RN
Other - Prefix:MRS
Other - First Name:ALECIA
Other - Middle Name:DEKOTE
Other - Last Name:DUCKWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:622 3RD AVE FL 39
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6797
Mailing Address - Country:US
Mailing Address - Phone:347-353-2640
Mailing Address - Fax:
Practice Address - Street 1:622 3RD AVE FL 39
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6797
Practice Address - Country:US
Practice Address - Phone:212-916-0845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY831803163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse