Individual
MORGAN KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
448 BEACH 127TH ST, BELLE HARBOR, NY 11694-1731
(917) 960-1825
Mailing address
448 BEACH 127TH ST, BELLE HARBOR, NY 11694-1731
(917) 960-1825
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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