Dr. William W Bongiorno, DDS
Dentist, General Practice in Brooklyn, NY. Individual provider (NPI-1).
NPI number1679888564
StatusActive
Last updated in NPPESAug 16, 2010
Details
- NPI
- 1679888564
- Entity type
- Individual (NPI-1)
- Name
- Dr. William W Bongiorno
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2010
- Last updated
- Aug 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 030397 | NY | Yes |
Practice location
1278 72nd StBrooklyn, NY 11228-1505
Phone 718-680-1117 · Fax 718-491-5536
Mailing address
1278 72nd StBrooklyn, NY 11228-1505
Phone 718-680-1117 · Fax 718-491-5536
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