Organization · Type 2 NPI
Mark A. Koenig, D.o., P.c.
Primary Care Clinic/Center · Middle Island, NY
NPI number
1265708374
Active
Practice location
606 Middle Country Rd, Suite 1
Middle Island, NY 11953-2556
Fax (631) 924-8690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 174687 (NY) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Middle Island
About NPI 1265708374
Mark A. Koenig, D.o., P.c.'s National Provider Identifier is 1265708374, issued on Mar 23, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Middle Island, NY. The record was last updated on Mar 23, 2012.