Search › New York › 2471V0105X
Jessica Koenig
NPI 1134532799 · on the registry since 2014 · sole proprietor
Practice
- Address
- 52 Harding St
East Northport, NY 11731 - Phone
- (917) 603-7871
Registry record
- Primary taxonomy
- 2471V0105X
2471V0105X
- Also registered as
- 246XS1301X
2471S1302X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York