Individual
MRS. BECKY KOGUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2630 REMINGTON ROAD, UTICA, NY 13501
(315) 368-6746
Mailing address
12 HAWTHORNE RD, NEW HARTFORD, NY 13413-2247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
412167-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412167-1
—
NY
Enumeration date
01/11/2012
Last updated
01/11/2012
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