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

Medzdabe Desravines, LAC, MSTOM, DIPL

Individual provider Acupuncturist · NPI 1770131849

Medzdabe Desravines, LAC, MSTOM, DIPL is an Acupuncturist in Mineola, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

200 Old Country Rd Ste 140
Mineola, NY 11501-4273
Phone: (516) 794-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 335 Ocean Pkwy, Brooklyn, NY 11218-4104 — (718) 885-6671

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 006601-01 (NY)

Record details

NPI number1770131849
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC , MSTOM , DIPL
Sole proprietorNo
NPI enumeratedAugust 30, 2019
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

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