Provider Demographics
NPI:1679730477
Name:KOGAN, IRINA (MD)
Entity Type:Individual
Prefix:DR
First Name:IRINA
Middle Name:
Last Name:KOGAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:221 PARKVILLE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1377
Mailing Address - Country:US
Mailing Address - Phone:718-676-0111
Mailing Address - Fax:718-676-9710
Practice Address - Street 1:221 PARKVILLE AVE
Practice Address - Street 2:STE 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1377
Practice Address - Country:US
Practice Address - Phone:718-975-4575
Practice Address - Fax:718-676-9710
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2023-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2487042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology