Individual
ILYA KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1684 E 18TH ST, LOWER LEVEL, BROOKLYN, NY 11229-1249
(718) 339-3030
Mailing address
1684 E 18TH ST, LOWER LEVEL, BROOKLYN, NY 11229-1249
(718) 339-3030
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001865
NY
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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