person
Mrs. Kogie Johnson Ingersoll
Prosthetics Case Management in Bronx, New York
NPI 1609364579

Kogie Johnson Ingersoll is a Prosthetics Case Management based in Bronx, NY and is specialized in Prosthetics Case Management. Kogie Johnson Ingersoll practices in Bronx, NY. The NPI Number for Kogie Johnson Ingersoll is 1609364579 and holds a License No. AEC-16-04979 (New York).

The current practice location address for Kogie Johnson Ingersoll is 1005 Burke Ave Fl 2, Bronx, NY and can be reached out via phone at 914-733-8011.

Location: 1005 Burke Ave Fl 2, Bronx, NY, 10469-3803
person
Provider Profile Details
NPI Number
1609364579
Provider Name
Kogie Johnson Ingersoll
Credential
Provider Entity Type
Individual
Gender
Male
Address
1005 Burke Ave Fl 2, Bronx, NY, 10469-3803
Phone Number
914-733-8011
Fax Number
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1005 Burke Ave Fl 2
City
State
Zip
10469-3803
Phone Number
914-733-8011
Fax Number
person
Provider Business Mailing Address Details
Address
1005 Burke Ave Fl 2
City
State
Zip
10469-3803
Phone Number
914-733-8011
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
AEC-16-04979 (New York)
Definition
Definition to come...
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