DEXTER BONGATO

RIDGEWOOD, NY
NPI1245602853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: NY  036357)
Enumeration Date2015-10-22
Last Update Date2015-10-22
Business Address
-- DEXTER BONGATO
6805 FRESH POND RD
RIDGEWOOD, NY 11385-5200
Phone number: 718-456-2545
Mailing Address
-- DEXTER BONGATO
6805 FRESH POND RD
RIDGEWOOD, NY 11385-5200
Phone number: 718-456-2545
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