Organization
FAMILY DENTISTRY PTRS DOMINICK M CONGIUSTA ET AL PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINICK M CONGIUSTA DDS (DENTIST)
(718) 836-2228
Entity
Organization
Contact information
Practice address
530 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
(718) 836-2228
(718) 836-7265
Mailing address
530 BAY RIDGE PKWY, BROOKLYN, NY 11209-3310
(718) 836-2228
(718) 836-7265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0384741
NY
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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