Healthcare Provider Details

I. General information

NPI: 1447415039
Provider Name (Legal Business Name): DE BORRAH WRIGHT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 CLARKSON AVE
BROOKLYN NY
11203-2054
US

IV. Provider business mailing address

91 NOTTINGHAM DRIVE
EAST LONGMEADOW MA
01028
US

V. Phone/Fax

Practice location:
  • Phone: 718-245-2903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number241867
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number308156
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: