Individual
MR. PETER M. KOEHNEKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2001 MAIN ST, BUFFALO, NY 14208-1035
(716) 888-2954
(716) 888-3216
Mailing address
73 ALLENHURST RD, BUFFALO, NY 14214-1203
(716) 888-2954
(716) 888-3216
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5077035
NY
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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