Mark A. Koenig, D.o., P.c.

NPI #1265708374 in Middle Island, New York

Provider Information

NPI Number: 1265708374
Entity Type: Organization
Organization Name: Mark A. Koenig, D.o., P.c.
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Mar 23, 2012
Last Updated: Mar 23, 2012

Practice Location

Address: 606 MIDDLE COUNTRY RD
Address 2: SUITE 1
City: Middle Island
State: New York
ZIP Code: 11953-2556
Phone: (631) 924-5060

Authorized Official

Name: DR. MARK ALAN KOENIG, D.O.
Title: PRESIDENT
Phone: (631) 924-5060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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