Individual
ALLA KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 486-2787
Mailing address
6916 222ND ST, OAKLAND GARDENS, NY 11364-2620
(718) 428-4963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054115
NY
1835P1300X
Psychiatric Pharmacist
054115
NY
Other
Enumeration date
02/11/2010
Last updated
05/21/2010
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