Mark Koenig, D.O

NPI 1831252964 · on the registry since 2006 · sole proprietor

Practice

Address: 765 Route 25a Ste 6
Miller Place, NY 11764
Phone: (631) 320-3200
Fax: (631) 350-7798
Organisation at this address: Long Island Family Medical
Platinum Family Medicine P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-08-16

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