Koenig, Jan Albert

Koenig, Jan Albert is an individual health care provider with primary practice located at 2000 N Village Ave Suite 306, Rockville Centre NY 11570-1078. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Koenig, Jan Albert can be contacted via phone (516) 678-2232.

Contact Information

Primary practice address
2000 N Village Ave Suite 306 Rockville Centre NY 11570-1078
Phone: (516) 678-2232
Fax: (516) 678-8405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 158360 New York

Profile Details

NPI number 1245221209
LBN Legal business name Koenig, Jan Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245221209 NPPES
New York Other A100062016 PTAN

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