Jongco, Bienvenido R.

Jongco, Bienvenido R. is an sole proprietor health care provider with primary practice located at 451 Clarkson Ave Room B4104-A, Brooklyn NY 11203-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Jongco, Bienvenido R. can be contacted via phone (718) 245-4079.

Contact Information

Primary practice address
451 Clarkson Ave Room B4104-A Brooklyn NY 11203-2054
Phone: (718) 245-4079
Fax: (718) 245-3011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 115171 New York

Profile Details

NPI number 1588728992
LBN Legal business name Jongco, Bienvenido R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Jun 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588728992 NPPES
New Jersey MEDICAID 1876503

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