Individual
JOAN KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
5 GRACE CHURCH ST, OPEN DOOR FAMILY MEDICAL CENTERS, PORT CHESTER, NY 10573-4911
(914) 937-8899
Mailing address
165 MAIN ST, OPEN DOOR FAMILY MEDICAL CENTERS, OSSINING, NY 10562-4702
(914) 941-0993
(914) 941-0993
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400573-1
NY
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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