Kogan, Michelle J

Kogan, Michelle J is an sole proprietor health care provider with primary practice located at 8787 Francis Lewis Blvd , Queens Village NY 11427-2867. She recently has only one registered license in Eye and Vision Services Providers / Ophthalmic, which is considered as her primary health care specialty. Kogan, Michelle J can be contacted via phone (718) 465-4999.

Contact Information

Primary practice address
8787 Francis Lewis Blvd Queens Village NY 11427-2867
Fax: (718) 217-6101
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ophthalmic 156FX1100X

Profile Details

NPI number 1366567844
LBN Legal business name Kogan, Michelle J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366567844 NPPES
New York MEDICAID 01799119

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