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NPI Code Detail

MEDICARE: ALEXANDER KOGOS MD

MEDICARE: ALEXANDER KOGOS MD
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
1207R00000XInternal Medicine Physician241062NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871509695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER KOGOS MD
Provider Business Mailing Address
First Line : 55 WATER ST
Second Line : 2ND FLOOR CRED DEPT
City : NEW YORK
State : NY
Zip : 10041-0004
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 4771 HYLAN BLVD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-6315
Country : US
Telephone Number : 718-948-8200
Fax Number : 718-303-4089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 09/16/2019

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