Organization
NEUROPRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA KOGAN (PRESIDENT)
(732) 306-7372
Entity
Organization
Contact information
Practice address
3901 HIGHWAY 516, SUITE 1C, OLD BRIDGE, NJ 08857-4900
(732) 306-7372
(732) 707-4101
Mailing address
445 KINGS HIGHWAY, 2 FLOOR, BROOKLYN, NY 11229-1780
(718) 676-0111
(718) 676-9710
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA08800000
NJ
Other
Enumeration date
12/24/2012
Last updated
12/10/2014
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