Individual
JOHN DEGARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCH NP
Contact information
Practice address
51 PINE ST, HOLBROOK, NY 11741-1515
(718) 640-4357
Mailing address
51 PINE ST, HOLBROOK, NY 11741-1515
(718) 640-4357
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406821-01
NY
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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