Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Degonzague

Individual provider Specialist · NPI 1104217256

Jessica Degonzague is a Specialist in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

90 Air Park Dr
Ronkonkoma, NY 11779-7360
Phone: (631) 580-4001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NY)

Record details

NPI number1104217256
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2015
Last updated in NPPESFebruary 11, 2015

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