person
Jessica Degonzague
Specialist in Ronkonkoma, New York
NPI 1104217256

Jessica Degonzague is a Specialist based in Sound Beach, NY. Jessica Degonzague practices in Ronkonkoma, NY. The NPI Number for Jessica Degonzague is 1104217256 and holds a License No. (New York).

The current practice location address for Jessica Degonzague is 90 Air Park Dr, Ronkonkoma, NY and can be reached out via phone at 631-580-4001.

Location: 90 Air Park Dr, Ronkonkoma, NY, 11789-2534
person
Provider Profile Details
NPI Number
1104217256
Provider Name
Jessica Degonzague
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Air Park Dr, Ronkonkoma, NY, 11789-2534
Phone Number
631-580-4001
Fax Number
Provider Enumeration Date
02/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
90 Air Park Dr
City
State
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
person
Provider Business Mailing Address Details
Address
90 Air Park Dr
City
State
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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