Provider Demographics
NPI:1427503614
Name:NSUBAYI, DHONA KABEYA (SA-C)
Entity type:Individual
Prefix:
First Name:DHONA
Middle Name:KABEYA
Last Name:NSUBAYI
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 FREEMAN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459-1413
Mailing Address - Country:US
Mailing Address - Phone:917-815-4720
Mailing Address - Fax:
Practice Address - Street 1:840 FREEMAN ST APT 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459-1413
Practice Address - Country:US
Practice Address - Phone:917-815-4720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16-506246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant