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MR. EDWARD S. KOENIG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-2727
(516) 663-8549
Mailing address
700 HICKSVILLE RD, SUITE 204, BETHPAGE, NY 11714-3471
(516) 576-5812
(516) 576-5801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004816
NY

Other

Enumeration date
05/15/2006
Last updated
07/08/2007
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