PETER GERHARDT KOOIENGA

ELMHURST, NY
NPI1316632185
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-07
Last Update Date2023-04-07
Business Address
PETER GERHARDT KOOIENGA DO
7901 BROADWAY
ELMHURST, NY 11373-1329
Phone number: 718-334-3437
Mailing Address
PETER GERHARDT KOOIENGA DO
79-01 BROADWAY ATTN: PETER KOOIENGA
ELMHURST, NY 11373-1329
Phone number: 718-334-3437
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