Individual
MS. REGINA KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
81 WILLOUGHBY ST, DMITRY BRONFMAN MD, ATT. REGINA KOGAN, BROOKLYN, NY 11201-5291
(718) 875-4848
(718) 222-1709
Mailing address
81 WILLOUGHBY ST, DMITRY BRONFMAN MD, ATT. REGINA KOGAN, BROOKLYN, NY 11201-5291
(718) 875-4848
(718) 222-1709
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
008147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008147
NY STATE LISENCE
NY
Enumeration date
07/10/2010
Last updated
05/23/2015
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