Individual
JONATHAN KOGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
280 BROADWAY, NEWBURGH, NY 12550-5408
(914) 419-0088
(917) 677-7131
Mailing address
280 BROADWAY, NEWBURGH, NY 12550-5408
(914) 419-0088
(917) 677-7131
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003552
NY
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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