IndividualActive
Alexandra Derevnuk, FNP
NPI 1609155423 · Adult Health Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1609155423
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 332437 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
17 E 102nd St
2nd Floor Ehs
New York, NY 10029-5204
Phone: (212) 824-7690
Fax: (212) 426-7704
Approximate (ZIP-level) locationGet directions
Mailing address
1425 Madison Ave
New York, NY 10029-6514
Registry dates
- Enumerated
- 2011-08-10
- Last updated
- 2011-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.