Provider Demographics
NPI:1427058106
Name:COGAN, DANIEL FRANKLIN (NP)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:FRANKLIN
Last Name:COGAN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 1ST AVENUE 7 EAST
Mailing Address - Street 2:UNSNY HOSPICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-609-0570
Mailing Address - Fax:212-714-6839
Practice Address - Street 1:462 1ST AVENUE 7 EAST
Practice Address - Street 2:UNSNY HOSPICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-609-0570
Practice Address - Fax:212-714-6839
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340547-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology