Individual
IRINA KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212
(718) 240-5000
Mailing address
192 18TH ST APT 2, BROOKLYN, NY 11215-5303
(917) 748-1908
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0291723
NY
Other
Enumeration date
06/30/2014
Last updated
05/29/2018
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