Individual provider · Type 1 NPI
Jan Albert Koenig, MD
Specialist · Rockville Centre, NY
NPI number
1245221209
Active
Practice location
2000 N Village Ave, Suite 306
Rockville Centre, NY 11570-1078
Fax (516) 678-8405
Mailing address
700 Hicksville Rd Ste 205
Bethpage, NY 11714-3472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 158360 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other specialist providers in Rockville Centre
- Danielle DebaunSpecialist Rockville Centre, NY NPI 1003258617
- Lori HarmonSpecialist Rockville Centre, NY NPI 1043573843
- Sarah PhelanSpecialist Rockville Centre, NY NPI 1083077796
- Jorge S. Cerruti, MDSpecialist Rockville Centre, NY NPI 1093706046
- Maura Renee Kelly-Magliaro, OTR/LSpecialist Rockville Centre, NY NPI 1104109834
- David BriceSpecialist Rockville Centre, NY NPI 1104209451
- Tara C. McEntee-AmbrosiSpecialist Rockville Centre, NY NPI 1104228352
- Ted GlassSpecialist Rockville Centre, NY NPI 1134480270
About NPI 1245221209
Jan Albert Koenig, MD's National Provider Identifier is 1245221209, issued on Oct 31, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockville Centre, NY. The record was last updated on Mar 25, 2025.