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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