Provider Demographics
NPI:1255580718
Name:JOURDY, DEYA N (MD)
Entity type:Individual
Prefix:DR
First Name:DEYA
Middle Name:N
Last Name:JOURDY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:660 WHITE PLAINS RD STE 400
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5107
Mailing Address - Country:US
Mailing Address - Phone:914-984-2546
Mailing Address - Fax:
Practice Address - Street 1:200 WHITE PLAINS RD STE 201
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5804
Practice Address - Country:US
Practice Address - Phone:914-631-3053
Practice Address - Fax:914-631-2807
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY246990207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology