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Individual

MIKHAIL KOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
67 IRVING PL, 10TH FLOOR, NEW YORK, NY 10003-2202
(212) 254-5350
Mailing address
299 LIVINGSTON ST, BROOKLYN, NY 11217-1001
(201) 804-2800

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A204869-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A204869-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01761760
NY
Enumeration date
03/10/2006
Last updated
01/22/2025
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