Individual
DR. SETH JASON KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MOTOR PKWY STE C-16, HAUPPAUGE, NY 11788-5114
(631) 978-7633
(631) 621-4115
Mailing address
STONY BROOK, 500 COMMACK ROAD SUITE 206, COMMACK, NY 11725
(631) 675-2125
(631) 675-2628
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
227330-1
NY
207RP1001X
Pulmonary Disease Physician
MD17242
RI
Other
Enumeration date
02/26/2007
Last updated
01/20/2023
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