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Contact Information

MARC BONGARD, DMD
150 55TH ST
BROOKLYN, NY11220-2508
 Phone: 718-630-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist Anesthesiologist

1223D0004X
Indicates primary specialty

NPI Profile & details for MARC BONGARD · (Male)

NPI # 1972910479
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 07/16/2014
Last updated 07/16/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # P93870
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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