| Mark A. Koenig, D.o., P.c. | |
|
606 Middle Country Rd Suite 1 Middle Island NY 11953-2556 | |
| (631) 924-5060 | |
| (631) 924-8690 |
| Full Name | Mark A. Koenig, D.o., P.c. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 606 Middle Country Rd, Middle Island, New York |
| Authorized Official Name and Position | Mark Alan Koenig (PRESIDENT) |
| Authorized Official Contact | 6319245060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Koenig, D.o., P.c. 606 Middle Country Rd Suite 1 Middle Island NY 11953-2556 Ph: (631) 924-5060 | Mark A. Koenig, D.o., P.c. 606 Middle Country Rd Suite 1 Middle Island NY 11953-2556 Ph: (631) 924-5060 |
| NPI Number | 1265708374 |
|---|---|
| Provider Enumeration Date | 03/23/2012 |
| Last Update Date | 03/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265708374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 174687 (New York) | Primary |
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