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Medzdabe Desravines, LAC, MSTOM, DIPL
NPI 1770131849 · Acupuncturist · Mineola, NY
Medzdabe Desravines, LAC, MSTOM, DIPL is a Acupuncturist provider in Mineola, NY (NPI 1770131849).
Provider details
- NPI number
- 1770131849
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC, MSTOM, DIPL
- Sex
- Male
- Sole proprietor
- No
- License
- 006601-01 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Old Country Rd Ste 140
Mineola, NY 11501-4273
Phone: (516) 794-2200
Street-level locationGet directions
Mailing address
335 Ocean Pkwy
Brooklyn, NY 11218-4104
Additional practice locations (1)
- 335 Ocean PkwyBrooklyn, NY 11218-4104Phone: (718) 885-6671
Registry dates
- Enumerated
- 2019-08-30
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Medzdabe Desravines's NPI number?
- Medzdabe Desravines's National Provider Identifier (NPI) is 1770131849, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Medzdabe Desravines's specialty?
- Medzdabe Desravines is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Medzdabe Desravines located?
- Medzdabe Desravines's practice location on file with NPPES is 200 Old Country Rd Ste 140, Mineola, NY 11501-4273.
- What is Medzdabe Desravines's phone number?
- The practice phone number listed in the NPPES registry for Medzdabe Desravines is (516) 794-2200.
- Is Medzdabe Desravines's NPI active?
- Yes — Medzdabe Desravines's NPI (1770131849) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.