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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEXTER BONGATO

Active Sole Proprietor

DEXTER BONGATO is a Physical Therapy Clinic healthcare provider located in RIDGEWOOD, New York. NPI 1245602853 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · RIDGEWOOD, NY

Registration Details

NPI Number
1245602853
Provider Type
Individual
Gender
Male
NPI Issued
Oct 22, 2015 (10.765392656874 yrs)
Last Updated
Oct 22, 2015
License
036357 (NY)
Sole Proprietor
Yes

Practice Information

Address
6805 FRESH POND RD
RIDGEWOOD, NY, 113855200
Browse NY providers · Browse ZIP 11385
Phone
7184562545
Fax
7185596784
Primary Specialty
Physical Therapy Clinic
261QP2000X

Other Physical Therapy Clinic Providers in RIDGEWOOD, NY

Name Credential NPI
OLIVER CAYETANO 1942672696
ALEXANDER GUILLERA 1598137267
JEDD LOUIE DIANGO ROSALES RPT 1205701323
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.