Individual provider · Type 1 NPI

Ian Koonge, MS

Physician Assistant · Albany, NY

NPI number 1649820705 Active

Practice location

315 S Manning Blvd
Albany, NY 12208-1707

Call (518) 525-1550 Map

Mailing address

815 Jay Dr
Wantagh, NY 11793-1019

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X024042 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649820705

Ian Koonge, MS's National Provider Identifier is 1649820705, issued on Sep 19, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Albany, NY. The record was last updated on Sep 19, 2019.