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ALEXANDRA DEREVNUK FNP
NPI 1609155423
Nurse Practitioner - Adult Health in New York, NY

Active since August 10, 2011
17 E 102ND ST, 2ND FLOOR EHS, NEW YORK, NY 10029(212) 824-7690(212) 426-7704 Get Directions Write a Review

NPPES record last updated: August 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexandra Derevnuk Fnp NPPES

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

ALEXANDRA DEREVNUK FNP (NPI 1609155423) is an individual adult health provider in New York, New York, licensed in New York (332437) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1609155423
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameALEXANDRA DEREVNUKCredential: FNP
Location Address17 E 102ND ST, 2ND FLOOR EHSNew York, NY 10029-5204
Mailing Address1425 Madison Ave, L2-92New York, NY 10029-6514 · (212) 659-9450 · Fax (212) 987-4006
Phone(212) 824-7690
Fax(212) 426-7704
Sole ProprietorNo
Enumeration DateAugust 10, 2011
✔ NPI 1609155423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 332437
17 E 102ND ST, New York, NY 10029
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Other Providers at the Same Location NPPES 20

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

MARK CALLAHAN MD
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-6585
MINAL KALE MD
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
DR. LISA LITTMAN M.D., MPH
Preventive Medicine (Public Health & General Preventive Medicine)
17 E 102ND ST, DEPT OF COMMUNITY AND PREVENTIVE MEDICINE
NEW YORK, NY 10029
New York County (212) 824-7069
EMILY WANG M.D.
Internal Medicine
17 E 102ND ST, 5TH FLOOR
NEW YORK, NY 10029
New York County (212) 241-6585
DR. FARZIN FOROOGHIAN MD
General Acute Care Hospital
17 E 102ND ST, 8TH FLOOR
NEW YORK, NY 10029
New York County (212) 241-0939
AUGUSTA ORR HARRISON M.S, R.D., C.D.N.
Dietitian, Registered
17 E 102ND ST, 5TH FLOOR, EAST TOWER
NEW YORK, NY 10029
New York County (212) 241-2475
MOUNT SINAI DEPARTMENT OF ORTHOPAEDIC SURGERY
Specialist
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-6980
MSSM-OPTICAL SHOP
Eyewear Supplier
17 E 102ND ST, 8TH FLOOR #1183
NEW YORK, NY 10029
New York County (212) 824-7660

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 Alexandra Derevnuk's NPI number?

The NPI number for Alexandra Derevnuk is 1609155423. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Where is Alexandra Derevnuk located?

Alexandra Derevnuk practices at 17 E 102nd St 2nd Floor Ehs, New York, NY 10029. The listed phone number is (212) 824-7690.

What is Alexandra Derevnuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Alexandra Derevnuk was last updated on August 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.