Individual
BROCHA FAYGE KAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
506 6TH ST, NEW YORK METHODIST HOSPITAL, BROOKLYN, NY 11215-3609
(718) 780-3159
(718) 780-7380
Mailing address
202 CATON AVE, BROOKLYN, NY 11218-1617
(718) 215-8650
(718) 780-7380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
11/01/2006
Last updated
06/30/2022
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