Adiel Derkhidam

Nurse Practitioner - Primary Care

19002 Jamaica Ave, Hollis
  New York, 11423-2034
718-577-2211
May or may not accept Medicare Nurse Practitioner in Hollis, New York.
Adiel Derkhidam is a Hollis, New York based nurse practitioner who is specialized as Primary Care NP. Active license number of Adiel Derkhidam is 3763318 for Primary Care NP in New York. Her current practice location is 19002 Jamaica Ave, Hollis. Patients can reach her at 718-577-2211 with specialization in Primary Care NP and her NPI number (Unique professional ID assigned by NPPES) is 1538015235.
Adiel Derkhidam is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Adiel Derkhidam speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Adiel Derkhidam
Specialization: Nurse Practitioner - Primary Care (PCNP)
Gender:Female
Practice Address:19002 Jamaica Ave, Hollis,
New York, 11423-2034
Phone:718-577-2211
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1538015235
NPI Enumeration Date: 06 Mar, 2026
NPI Last Update On: 06 Mar, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Adiel Derkhidam are as mentioned below.
License NumberSpecializationStateStatus
3763318Primary Care NP New YorkPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Adiel Derkhidam
24 Florence St,
Great Neck, New York
Zip: 11023-1109
Fax Number: 516-660-6607
Patients can reach Adiel Derkhidam at 19002 Jamaica Ave, Hollis, New York or can call to book an appointment on 718-577-2211.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.