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

Individual provider Physical Therapy Clinic/Center · NPI 1245602853

Dexter Bongato is a Physical Therapy Clinic/Center in Ridgewood, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone: (718) 456-2545
Fax: (718) 559-6784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 036357 (NY)

Record details

NPI number1245602853
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 22, 2015
Last updated in NPPESOctober 22, 2015
Mailing address6805 Fresh Pond Rd, Ridgewood, NY 11385-5200

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