Individual
GENNADY KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 BAY 38TH ST, APT 2, BROOKLYN, NY 11214-4417
(718) 449-0540
Mailing address
60 BAY 38TH ST, APT 2, BROOKLYN, NY 11214-4417
(718) 449-0540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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