Provider Demographics
NPI:1912771494
Name:DUKURAY, ISATOU YAINENEH (MSN,APRN,FNP)
Entity Type:Individual
Prefix:MS
First Name:ISATOU
Middle Name:YAINENEH
Last Name:DUKURAY
Suffix:
Gender:F
Credentials:MSN,APRN,FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 SAINT RAYMOND AVE APT 7A
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-7123
Mailing Address - Country:US
Mailing Address - Phone:646-420-9624
Mailing Address - Fax:
Practice Address - Street 1:2125 SAINT RAYMOND AVE APT 7A
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-7123
Practice Address - Country:US
Practice Address - Phone:646-420-9624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY746573-01163WC0200X
NYF352192-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine