Individual
ALEX KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
329A MYRTLE AVE, BROOKLYN, NY 11205-3201
(718) 596-0202
Mailing address
329A MYRTLE AVE, BROOKLYN, NY 11205-3201
(646) 441-7667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
046653
NY
Other
Enumeration date
03/19/2008
Last updated
02/05/2010
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