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Brad Koegel
NPI 1912399189 · on the registry since 2015 · sole proprietor
Practice
- Address
- 30-46 35th Street
Astoria, NY 11103 - Phone
- (516) 425-3112
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 171M00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York