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

Deirdre Simone De Chalus, RPA-C

Individual provider Physician Assistant · NPI 1396910311

Deirdre Simone De Chalus, RPA-C is a Physician Assistant in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8312
Fax: (516) 663-2184
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002186 (NY)

Record details

NPI number1396910311
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedApril 30, 2008
Last updated in NPPESMarch 24, 2020
Certification dateMarch 24, 2020

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