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General NPI Number Information
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NPI Number | 1467420877
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Entity Type | Individual
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Provider Name | MIKHAIL KOGAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 67 IRVING PL 10TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10003-2202
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Country | US
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Telephone | 212-254-5350
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Fax |
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Provider Business Mailing Address
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Address Line | 299 LIVINGSTON ST
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City | BROOKLYN
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State | NY
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Zip | 11217-1001
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Country | US
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Telephone | 201-804-2800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A204869-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A204869-1
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License Number State | NY
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