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Individual

MRS. FAINA KOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
280 QUENTIN RD, BROOKLYN, NY 11223-1628
(718) 336-4499
(718) 336-2013
Mailing address
65 FIR DR, ROSLYN, NY 11576-2405
(516) 484-6847

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
207111
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01793035
NY
Enumeration date
01/23/2007
Last updated
04/05/2021
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