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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