ERIC STEVEN KOENIGSDORF

RIVERHEAD, NY
NPI1356855282
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  021648)
Enumeration Date2017-11-30
Last Update Date2017-11-30
Business Address
ERIC STEVEN KOENIGSDORF PA
1300 ROANOKE AVE
RIVERHEAD, NY 11901-2031
Phone number: 631-548-6000
Mailing Address
ERIC STEVEN KOENIGSDORF PA
43 SENIX AVE
CENTER MORICHES, NY 11934-2902
Phone number: 631-766-8931
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