Healthcare Provider Details

I. General information

NPI: 1477369155
Provider Name (Legal Business Name): DEANNA DEMPSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 12/06/2024
Certification Date: 12/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26901 76TH AVE
NEW HYDE PARK NY
11040-1433
US

IV. Provider business mailing address

40 HAMLET DR
MOUNT SINAI NY
11766-3002
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number772774
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: