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MEDZDABE DESRAVINES LAC, MSTOM, DIPL
NPI 1770131849
Acupuncturist in Mineola, NY

Active since August 30, 2019
200 OLD COUNTRY RD STE 140, MINEOLA, NY 11501(516) 794-2200 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, May 18, 2020, Sep 4, 2019 and 1 more (4 updates tracked since 2019).

About Medzdabe Desravines Lac, Mstom, Dipl NPPES

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

MEDZDABE DESRAVINES LAC, MSTOM, DIPL (NPI 1770131849) is an individual acupuncturist in Mineola, New York, licensed in New York (006601-01) and active in the NPI registry since August 2019. He maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1770131849
Entity TypeIndividualMale
Primary Taxonomy171100000X
Provider Legal NameMEDZDABE DESRAVINESCredential: LAC, MSTOM, DIPL
Location Address200 OLD COUNTRY RD STE 140Mineola, NY 11501-4273
Mailing Address335 Ocean PkwyBrooklyn, NY 11218-4104 · (718) 885-6671
Phone(516) 794-2200
Sole ProprietorNo
Enumeration DateAugust 30, 2019
Last NPPES UpdateJuly 10, 20244 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1770131849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in NY · 006601-01
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
200 OLD COUNTRY RD STE 140, Mineola, NY 11501
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Secondary Practice Location 1

Location 1335 Ocean PkwyBrooklyn, NY 11218-4104 · Phone (718) 885-6671

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

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

TRES HOLISTIC
Massage Therapist
200 OLD COUNTRY RD STE 140
MINEOLA, NY 11501
Nassau County (516) 340-9744
DESRAVINES ACUPUNCTURE PC
Acupuncturist
200 OLD COUNTRY RD STE 140
MINEOLA, NY 11501
Nassau County (516) 794-2200
LAUREN DEMINO
Nurse Practitioner (Primary Care)
200 OLD COUNTRY RD STE 140
MINEOLA, NY 11501
Nassau County (516) 742-6159

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 Medzdabe Desravines's NPI number?

The NPI number for Medzdabe Desravines is 1770131849. It was assigned to this individual provider in the NPPES registry on August 30, 2019.

Where is Medzdabe Desravines located?

Medzdabe Desravines practices at 200 Old Country Rd Ste 140, Mineola, NY 11501. The listed phone number is (516) 794-2200.

What is Medzdabe Desravines's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Medzdabe Desravines accept?

Health plans from Providence Health Plan list Medzdabe Desravines as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medzdabe Desravines was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.