Individual provider · Type 1 NPI

Adiel Derkhidam

Primary Care Nurse Practitioner · Hollis, NY

NPI number 1538015235 Active

About NPI 1538015235

Adiel Derkhidam's National Provider Identifier is 1538015235, issued on Mar 6, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Hollis, NY. The record was last updated on Mar 6, 2026.