Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adiel Derkhidam

Individual provider Primary Care Nurse Practitioner · NPI 1538015235

Adiel Derkhidam is a Primary Care Nurse Practitioner in Hollis, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

19002 Jamaica Ave
Hollis, NY 11423-2034
Phone: (718) 577-2211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 3763318 (NY)

Record details

NPI number1538015235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2026
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address24 Florence St, Great Neck, NY 11023-1109

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