Provider Demographics
NPI:1932635877
Name:NDUKA, JOY A (MD)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:A
Last Name:NDUKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 MARKET ST STE 216
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-7617
Mailing Address - Country:US
Mailing Address - Phone:914-848-8085
Mailing Address - Fax:914-848-8021
Practice Address - Street 1:73 MARKET ST STE 216
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-7617
Practice Address - Country:US
Practice Address - Phone:914-848-8085
Practice Address - Fax:914-848-8021
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY301858207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program