Organization
KOCHMAN, LEBOWITZ & MOGIL, MD'S, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY RAIFMAN M.S. (ADMINISTRATOR)
(718) 645-0600
Entity
Organization
Contact information
Practice address
1301 AVENUE J, BROOKLYN, NY 11230-3605
(718) 645-0600
(718) 692-4456
Mailing address
1301 AVENUE J, BROOKLYN, NY 11230-3605
(718) 645-0600
(718) 692-4456
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01634275
—
NY
Enumeration date
08/07/2006
Last updated
06/14/2011
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