Organization
FOREST HILLS AMBULATORY MEDICAL CARE PLLC
Active
Organization
FOREST HILLS AMBULATORY MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL KOGAN MD (MEDICAL DOCTOR)
(718) 544-1171
Entity
Organization
Contact information
Practice address
10818 72ND AVE, FOREST HILLS, NY 11375-5339
(718) 544-1171
Mailing address
7211 AUSTIN ST # 481, FOREST HILLS, NY 11375-5354
(718) 544-1171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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