Healthcare Provider Details

I. General information

NPI: 1760306740
Provider Name (Legal Business Name): DEBRA NALINI DEONARAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 JERICHO TPKE
MINEOLA NY
11501-1613
US

IV. Provider business mailing address

22 BAKER AVE
MERRICK NY
11566-2328
US

V. Phone/Fax

Practice location:
  • Phone: 718-551-6565
  • Fax:
Mailing address:
  • Phone: 718-551-6565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF360124-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: