Provider Demographics
NPI:1447700562
Name:DUKUREH, YUSUPHA M (FNP-BC, APRN)
Entity type:Individual
Prefix:DR
First Name:YUSUPHA M
Middle Name:
Last Name:DUKUREH
Suffix:
Gender:M
Credentials:FNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3365 3RD AVE APT 6E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-6981
Mailing Address - Country:US
Mailing Address - Phone:347-849-1576
Mailing Address - Fax:
Practice Address - Street 1:1560 GRAND CONCOURSE
Practice Address - Street 2:102
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-8402
Practice Address - Country:US
Practice Address - Phone:347-849-1576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY353112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily