Individual
MRS. PEGGY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
227 W DOMINICK ST, ROME, NY 13440-5859
(315) 336-6230
Mailing address
227 W DOMINICK ST, ROME, NY 13440-5859
(315) 336-6230
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
564291-01
NY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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