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Individual

PAUL KOENIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MMC - DEPT. OF PEDIATRICS, 3444 KOSSUTH AVENUE, BRONX, NY 10467
(718) 920-5872
Mailing address
126 SURREY LN, TENAFLY, NJ 07670-2517
(718) 920-5872
(718) 652-5707

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
141980
NY

Other

Enumeration date
11/08/2006
Last updated
07/08/2007
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