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General NPI Number Information
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NPI Number | 1750464509
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Entity Type | Organization
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Legal Business Name | DRS STEVEN M EMMETT AND BORIS KOGAN PARTNERS
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3104 QUENTIN RD
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City | BROOKLYN
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State | NY
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Zip | 11234-4209
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Country | US
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Telephone | 718-339-5544
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Fax | 718-339-4892
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Provider Business Mailing Address
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Address Line | 3104 QUENTIN RD
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City | BROOKLYN
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State | NY
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Zip | 11234-4209
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Country | US
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Telephone | 718-339-5544
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Fax | 718-339-4892
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Authorized Official
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Title or Position | PARTNERS
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Name | DR. BORIS KOGAN
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Credential | MD
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Telephone | 718-339-5544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 162552
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License Number State | NY
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