Individual
REBECCA MICHELLE KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
530 EAST 74TH ST, NEW YORK, NY 10021
(212) 639-2000
Mailing address
21 BARRY CT, STATEN ISLAND, NY 10306-5675
(718) 810-0511
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
698183
NY
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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