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DEBORAH DONNAMAE DERIVAL
NPI 1063061075
Licensed Practical Nurse in Richmond Hill, NY

Active since September 11, 2019
11606 MYRTLE AVE, RICHMOND HILL, NY 11418(718) 850-7099 Get Directions Write a Review

NPPES record last updated: September 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deborah Donnamae Derival NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBORAH DONNAMAE DERIVAL (NPI 1063061075) is an individual licensed practical nurse in Richmond Hill, New York, licensed in New York (333705-1) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1063061075
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDEBORAH DONNAMAE DERIVAL
Location Address11606 MYRTLE AVERichmond Hill, NY 11418-1748
Mailing Address14415 176th StJamaica, NY 11434-4931 · (631) 339-8303
Phone(718) 850-7099
Sole ProprietorYes
Enumeration DateSeptember 11, 2019
✔ NPI 1063061075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 333705-1
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

11606 MYRTLE AVE, Richmond Hill, NY 11418
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RISEWELL COMMUNITY SERVICES
Community/Behavioral Health
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 850-7099
RISEWELL COMMUNITY SERVICES
Community/Behavioral Health
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 215-1952
MRS. MAGGIE SILVA
Behavior Analyst
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (917) 842-8904
MRS. OLUBUKOLA ELIZABETH AJAYI PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 850-7099
SHARITA OUTLAW RN
Registered Nurse (Psychiatric/Mental Health)
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (631) 552-4240
GLORIA OKAONYE FREDRICK II RN
Registered Nurse
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 215-1952
ZINA STREETER LMSW
Social Worker
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (718) 215-1952
MUSTUFA RAJA LMHC
Counselor (Mental Health)
11606 MYRTLE AVE
RICHMOND HILL, NY 11418
Queens County (929) 255-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Derival's NPI number?

The NPI number for Deborah Derival is 1063061075. It was assigned to this individual provider in the NPPES registry on September 11, 2019.

Where is Deborah Derival located?

Deborah Derival practices at 11606 Myrtle Ave, Richmond Hill, NY 11418. The listed phone number is (718) 850-7099.

What is Deborah Derival's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Deborah Derival was last updated on September 11, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.