Desravines Acupuncture PC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

DESRAVINES ACUPUNCTURE PC

Practice address

200 Old Country Rd Ste 140
Mineola, NY 11501-4273

Phone

(516) 794-2200

Fax

(718) 949-1576

NPI assigned

Aug 9, 2024

Last updated

Jun 17, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Medzdabe Desravines, LACNPI 1770131849

Title

Owner

Phone

(718) 885-6671

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Medzdabe Desravines, LAC, MSTOM, DIPL

  • Acupuncturist
  • Mineola, NY
  • NPI 1770131849
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1538990791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 ELDER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104721502",
            "telephone_number": "718-885-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD STE 140",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014273",
            "telephone_number": "516-794-2200",
            "fax_number": "718-949-1576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1053 Morris Park Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611453",
            "country_code": "US",
            "telephone_number": "718-885-6671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESRAVINES ACUPUNCTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "DESRAVINES",
        "authorized_official_first_name": "MEDZDABE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-885-6671",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl G Derizzio, NP
• Shikha Desai
• Christine Desanno-Caridi, DO
• Jamie Desmond
• Shilpa Anne Desouza, MD
• Medzdabe Desravines, LAC, MSTOM, DIPL
• Nancy R. Deutsch, L.C.S.W.
• Lauren Devito, PA
• Rohish Dewan
• Randy Alan Dexter

• Acupuncturist in Mineola, NY
• Providers in Mineola, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.