Provider Demographics
NPI:1518963636
Name:DOKKO, YONI (MD)
Entity type:Individual
Prefix:
First Name:YONI
Middle Name:
Last Name:DOKKO
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 1:108 W 39TH ST RM 405
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-3649
Mailing Address - Country:US
Mailing Address - Phone:646-559-4659
Mailing Address - Fax:917-663-4365
Practice Address - Street 1:108 W 39TH ST RM 405
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3649
Practice Address - Country:US
Practice Address - Phone:646-559-4659
Practice Address - Fax:917-663-4365
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2068192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00S352Medicare ID - Type Unspecified
NYG75845Medicare UPIN