Organization
ORIGINAL CARE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA KOGAN M.D. (PRESIDENT)
(718) 775-5960
Entity
Organization
Contact information
Practice address
333 GREENE AVE, BROOKLYN, NY 11238-2295
(718) 758-5777
(888) 887-9723
Mailing address
333 GREENE AVE, BROOKLYN, NY 11238-2295
(718) 758-5777
(888) 887-9723
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
259336
NY
Other
Enumeration date
11/23/2011
Last updated
04/23/2024
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