Provider Demographics
NPI:1740327576
Name:PARKS DAYER, KENYA MARIA (MD, MS)
Entity type:Individual
Prefix:DR
First Name:KENYA
Middle Name:MARIA
Last Name:PARKS DAYER
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:DR
Other - First Name:KENYA
Other - Middle Name:
Other - Last Name:PARKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:MOUNT SINAI HEALTH SYSTEM, DEPARTMENT OF PEDIATRICS,
Mailing Address - Street 2:1 GUSTAVE LEVY PLACE, BOX 1200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-241-4963
Mailing Address - Fax:212-360-6714
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-4963
Practice Address - Fax:212-360-6714
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241548208000000X
TXN5318208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02832328Medicaid