SearchNew York363LA2200X

Alexandra Derevnuk, FNP

NPI 1609155423 · on the registry since 2011

Practice

Address
17 E 102nd St
2nd Floor Ehs
New York, NY 10029
Phone
(212) 824-7690
Fax
(212) 426-7704
Organisation at this address
Mssm-Optical Shop
Mount Sinai Hospital
Icahn School Of Medicine At Mount Sinai
Mount Sinai Department Of Orthopaedic Surgery
Inferred from a shared address, not stated in the registry.
Clinicians at this address
202

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York