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

Mrs. Kogie Johnson Ingersoll

Individual provider Prosthetics Case Management · NPI 1609364579

Mrs. Kogie Johnson Ingersoll is a Prosthetics Case Management in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

1005 Burke Ave Fl 2
Bronx, NY 10469-3803
Phone: (914) 733-8011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence AEC-16-04979 (NY)

Record details

NPI number1609364579
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 26, 2018
Last updated in NPPESApril 26, 2018

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