Individual
MS. DEA IMERAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
5 MACK AVE, HICKSVILLE, NY 11801-2118
(917) 444-0582
Mailing address
5 MACK AVE, HICKSVILLE, NY 11801-2118
(917) 444-0582
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
408210
NY
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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