SearchNew York261QP2000X

Dexter Bongato

NPI 1245602853 · on the registry since 2015 · sole proprietor

Practice

Address
6805 Fresh Pond Rd
Ridgewood, NY 11385
Phone
(718) 456-2545
Fax
(718) 559-6784
Organisation at this address
Wyckoff Physical Therapy Pc.
Fresh Pond Physical Therapy, P.C
Fresh Pond Physical Therapy, P.C
Fresh Pond Physical Therapy Greenpoint, P.C
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
261QP2000X
261QP2000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York