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NPI Code Detail

MEDICARE: MR. HOWARD JOEL KOGAN LCSW

MEDICARE: MR. HOWARD JOEL KOGAN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerPR003792-1NY

General Provider Information

NPI Number : 1649266255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HOWARD JOEL KOGAN LCSW
Provider Business Mailing Address
First Line : 22 W 21ST ST
Second Line : TENTH FLOOR
City : NEW YORK
State : NY
Zip : 10010-6904
Country : US
Telephone Number : 212-352-1342
Fax Number :
Provider Business Practice Location Address
First Line : 22 W 21ST ST
Second Line : TENTH FLOOR
City : NEW YORK
State : NY
Zip : 10010-6904
Country : US
Telephone Number : 212-352-1342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 07/08/2007

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Directions to “ MR. HOWARD JOEL KOGAN LCSW” Practice Location

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