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Organization
VNSNY CHOICE
Active
Organization
VNSNY CHOICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POLINA KOGAN PHARMD (DIRECTOR OF PHARMACY)
(212) 290-9107
Entity
Organization
Contact information
Practice address
1250 BROADWAY, NEW YORK, NY 10001-3701
(212) 290-9107
Mailing address
1250 BROADWAY, NEW YORK, NY 10001-3701
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
059475
NY
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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