Provider Demographics
NPI:1730131806
Name:KOGEL, KAREN ANN (FNP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ANN
Last Name:KOGEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11 DESOTO RD
Mailing Address - Street 2:
Mailing Address - City:AMITY HARBOR
Mailing Address - State:NY
Mailing Address - Zip Code:11701-4009
Mailing Address - Country:US
Mailing Address - Phone:631-789-1583
Mailing Address - Fax:516-694-6223
Practice Address - Street 1:1425 OLD COUNTRY RD
Practice Address - Street 2:BUILDING H
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5010
Practice Address - Country:US
Practice Address - Phone:631-261-4400
Practice Address - Fax:516-694-6223
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331025-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily