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Individual

DR. MARLON R KOENIGSBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
850 HOPKINS ROAD, WILLIAMSVILLE, NY 14221-1729
(716) 688-9641
(716) 688-9645
Mailing address
77 GOODELL STREET, STE. 240, BUFFALO, NY 14203-1243
(716) 645-9694
(716) 845-6699

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008415
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00930589
NY
Enumeration date
05/17/2006
Last updated
11/09/2022
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