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1760465918
ELENA KOGAN
GREAT NECK, NY
NPI
1760465918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: NY 0491131)
Enumeration Date
2005-11-22
Last Update Date
2007-07-08
Business Address
-- ELENA KOGAN DDS
1010 NORTHERN BLVD
GREAT NECK, NY 11021-5306
Phone number: 516-495-5469
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Mailing Address
-- ELENA KOGAN DDS
130 SHORE RD
PORT WASHINGTON, NY 11050-2205
Phone number: 516-495-5469
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