Bongato, Dexter

Bongato, Dexter is an sole proprietor health care provider with primary practice located at 6805 Fresh Pond Rd , Ridgewood NY 11385-5200. He recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as his primary health care specialty. Bongato, Dexter can be contacted via phone (718) 456-2545.

Contact Information

Primary practice address
6805 Fresh Pond Rd Ridgewood NY 11385-5200
Phone: (718) 456-2545
Fax: (718) 559-6784
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 036357 New York

Profile Details

NPI number 1245602853
LBN Legal business name Bongato, Dexter
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Oct 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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