IAN KOONGE

ALBANY, NY
NPI1649820705
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  024042)
Enumeration Date2019-09-19
Last Update Date2019-09-19
Business Address
IAN KOONGE MS
315 S MANNING BLVD
ALBANY, NY 12208-1707
Phone number: 518-525-1550
Mailing Address
IAN KOONGE MS
815 JAY DR
WANTAGH, NY 11793-1019
Phone number: 516-547-6117
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