MEDICARE: YONI DOKKO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	206819	NY

General Provider Information

NPI Number	:	1518963636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONI DOKKO M.D.

Provider Business Mailing Address
First Line	:	108 W 39TH ST RM 405
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-3649
Country	:	US
Telephone Number	:	646-559-4659
Fax Number	:	917-663-4365

Provider Business Practice Location Address
First Line	:	108 W 39TH ST RM 405
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10018-3649
Country	:	US
Telephone Number	:	646-559-4659
Fax Number	:	917-663-4365

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	12/10/2024

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Directions to “ YONI DOKKO M.D.” Practice Location

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