Provider Demographics
NPI:1295311835
Name:KAGAN, MICHAEL SEAN (DO)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:SEAN
Last Name:KAGAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:126 GREENPOINT AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-2202
Mailing Address - Country:US
Mailing Address - Phone:718-383-3377
Mailing Address - Fax:718-383-3606
Practice Address - Street 1:126 GREENPOINT AVE FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-2202
Practice Address - Country:US
Practice Address - Phone:718-383-3377
Practice Address - Fax:718-383-3606
Is Sole Proprietor?:No
Enumeration Date:2021-03-23
Last Update Date:2024-10-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY330488207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine