Individual
DERVELYNE DESSALINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP BC
Contact information
Practice address
540 ATLANTIC AVE, BROOKLYN, NY 11217-2619
(718) 875-1167
Mailing address
179 FRANKLIN ST, ELMONT, NY 11003-2220
(516) 488-2223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337228
NY
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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