ORIGINAL CARE MEDICAL PC
Ambulatory Health at 63 St, Brooklyn, NY

License number
New York 259336
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: ANNA KOGAN M.D.
Title: PRESIDENT
Phone: (718) 775-5960
Address
Address
2755 E 63Rd St, Brooklyn, NY 11234
National Provider ID: 1508133232
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ORIGINAL CARE MEDICAL PC at bizstanding.com

ORIGINAL CARE MEDICAL PC

2755 E 63 St, Brooklyn, NY 11234

Registration:
Nov 9, 2011
State ID:
4163917
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Anna Kogan, 2755 E 63 St, Brooklyn, NY 11234 (Physical)

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