Individual
MRS. COLETTE KOGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 EAST MAIN ST RD, SUITE 2, BATAVIA, NY 14020
(585) 344-1421
(585) 345-3080
Mailing address
5130 EAST MAIN ST RD, SUITE 2, BATAVIA, NY 14020
(585) 344-1421
(585) 345-3080
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
435946DUP
NY
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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