Medzdabe Desravines, LAC, MSTOM, DIPL
NPI 1770131849ActiveIndividual· Acupuncturist· Mineola, NY
Acupuncturist (LAC, MSTOM, DIPL) in Mineola, New York, licensed in NY, with an NPI issued in August 2019.
Overview
| NPI | 1770131849 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAC, MSTOM, DIPL |
| Sole proprietor | No |
| NPI issued | Aug 30, 2019 |
| Last updated in NPPES | Jul 10, 2024 |
| Certified by provider | Jul 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Acupuncturist Primary | 171100000X | 006601-01 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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