Individual provider · Type 1 NPI

Deborah Donnamae Derival

Licensed Practical Nurse · Richmond Hill, NY

NPI number 1063061075 Active

Practice location

11606 Myrtle Ave
Richmond Hill, NY 11418-1748

Call (718) 850-7099 Map

Mailing address

14415 176th St
Jamaica, NY 11434-4931

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X333705-1 (NY)

Licensed Practical Nurse: An individual 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.

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About NPI 1063061075

Deborah Donnamae Derival's National Provider Identifier is 1063061075, issued on Sep 11, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Richmond Hill, NY. The record was last updated on Sep 11, 2019.