Provider Demographics
NPI:1578042107
Name:OGURO, KAORU
Entity type:Individual
Prefix:
First Name:KAORU
Middle Name:
Last Name:OGURO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 BEDFORD AVE.
Mailing Address - Street 2:STE A., #1006
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211
Mailing Address - Country:US
Mailing Address - Phone:917-283-2350
Mailing Address - Fax:
Practice Address - Street 1:223 BEDFORD AVE.
Practice Address - Street 2:STE A., #1006
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211
Practice Address - Country:US
Practice Address - Phone:917-283-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health