MEDICARE: DR. DE BORRAH WRIGHT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	241867	MA
2	2084P0800X	Psychiatry Physician	308156	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447415039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DE BORRAH WRIGHT M.D.

Provider Business Mailing Address
First Line	:	91 NOTTINGHAM DRIVE
Second Line	:
City	:	EAST LONGMEADOW
State	:	MA
Zip	:	01028
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 CLARKSON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2054
Country	:	US
Telephone Number	:	718-245-2903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2008
Last Update Date	:	12/16/2025

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