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

Alexandra Derevnuk, FNP

Individual provider Adult Health Nurse Practitioner · NPI 1609155423

Alexandra Derevnuk, FNP is an Adult Health Nurse Practitioner in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

17 E 102nd St 2nd Fl Ehs
New York, NY 10029-5204
Phone: (212) 824-7690
Fax: (212) 426-7704
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 332437 (NY)

Record details

NPI number1609155423
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 10, 2011
Last updated in NPPESAugust 10, 2011

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