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Mark A. Koenig, D.o., P.c.
Primary Care Clinic/Center in Middle Island, New York
NPI 1265708374

Mark A. Koenig, D.o., P.c. is a Primary Care Clinic/Center based in Middle Island, NY and is specialized in Primary Care. Mark A. Koenig, D.o., P.c. practices in Middle Island, NY. The NPI Number for Mark A. Koenig, D.o., P.c. is 1265708374 and holds a License No. 174687 (New York).

The current practice location address for Mark A. Koenig, D.o., P.c. is 606 Middle Country Rd, Middle Island, NY and can be reached out via phone at 631-924-5060 and via fax at 631-924-8690.

Location: 606 Middle Country Rd, Middle Island, NY, 11953-2556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265708374
Provider Name
Mark A. Koenig, D.o., P.c.
Credential
Provider Entity Type
Organization
Address
606 Middle Country Rd, Middle Island, NY, 11953-2556
Phone Number
631-924-5060
Fax Number
631-924-8690
Provider Enumeration Date
03/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
606 Middle Country Rd
City
Middle Island
State
New York
Zip
11953-2556
Phone Number
631-924-5060
Fax Number
631-924-8690
person
Provider Business Mailing Address Details
Address
606 Middle Country Rd
City
Middle Island
State
New York
Zip
11953-2556
Phone Number
631-924-5060
Fax Number
631-924-8690
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
174687 (New York)
Definition
Definition to come...
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