Provider Demographics
NPI:1992940480
Name:FLASH-DUKES, MARIA ELAINE
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELAINE
Last Name:FLASH-DUKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 HUTCHINSON RIVER PKWY E
Mailing Address - Street 2:23D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4802
Mailing Address - Country:US
Mailing Address - Phone:718-671-5071
Mailing Address - Fax:
Practice Address - Street 1:698 YONKERS AVE
Practice Address - Street 2:1J
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2689
Practice Address - Country:US
Practice Address - Phone:914-969-3016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014452-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist