Individual
DR. ELI KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 MAIN STREET, FLUSHING, NY 11355
(718) 670-2007
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2007
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
152315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00889941
—
NY
Enumeration date
03/31/2006
Last updated
08/22/2018
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