Individual
BARRY KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
SOUTH CLINICAL CAMPUS, 23 HACKETT BLVD. (MC 208), ALBANY, NY 12208
(518) 262-3341
Mailing address
711 TROY SCHENECTADY RD, SUITE 201, LATHAM, NY 12110-2442
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
207219
NY
2088P0231X
Pediatric Urology Physician
Primary
207219
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01753153
—
NY
Enumeration date
10/25/2006
Last updated
12/06/2011
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