Organization
MARK A. KOENIG, D.O., P.C.
Active
Organization
MARK A. KOENIG, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN KOENIG D.O. (PRESIDENT)
(631) 924-5060
Entity
Organization
Contact information
Practice address
606 MIDDLE COUNTRY RD, SUITE 1, MIDDLE ISLAND, NY 11953-2556
(631) 924-5060
(631) 924-8690
Mailing address
606 MIDDLE COUNTRY RD, SUITE 1, MIDDLE ISLAND, NY 11953-2556
(631) 924-5060
(631) 924-8690
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
174687
NY
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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