Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Boris Kogan, MD

Individual provider Pediatrics Physician · NPI 1669431722

Boris Kogan, MD is a Pediatrics Physician in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

59 Dina Ct
Staten Island, NY 10306
Phone: (718) 979-3307
Fax: (718) 667-5436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 162552 (NY)

Record details

NPI number1669431722
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 18, 2006
Last updated in NPPESJuly 8, 2007

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