Barry Kogan, | |
South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 | |
(518) 262-3341 | |
Not Available |
Full Name | Barry Kogan |
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Gender | Male |
Speciality | Urology - Pediatric Urology |
Location | South Clinical Campus, Albany, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174607923 | NPI | - | NPPES |
01753153 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | 207219 (New York) | Primary |
208800000X | Urology | 207219 (New York) | Secondary |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629008537 PECOS PAC ID: 1759293111 Enrollment ID: O20031125000386 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
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Barry Kogan, 711 Troy Schenectady Rd, Suite 201, Latham, NY 12110-2442 Ph: () - | Barry Kogan, South Clinical Campus, 23 Hackett Blvd. (mc 208), Albany, NY 12208 Ph: (518) 262-3341 |
Dr. Jonah Marshall, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 319 S Manning Blvd Ste 106, Albany, NY 12208 Phone: 518-438-1019 Fax: 518-489-7642 | |
Rebecca Leigh O'malley, MD Urology Medicare: Medicare Enrolled Practice Location: 23 Hackett Blvd, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Brian Patrick Murray, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 4 Executive Park, Albany, NY 12203 Phone: 518-489-7494 Fax: 518-489-7641 | |
Dr. Adam Shattuck Howe, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 23 Hackett Blvd # Mc-108, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Dr. Robert Charles Welliver Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 23 Hackett Blvd, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 | |
Jean G. Hollowell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 23 Hackett Blvd, Mc 208, Albany, NY 12208 Phone: 518-262-3341 Fax: 518-262-6660 |