Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA MARIE KOENIG
Active Sole ProprietorJESSICA MARIE KOENIG is a 2471V0105X healthcare provider located in EAST NORTHPORT, New York. NPI 1134532799 is currently active in the NPPES registry. Verify at CMS.
2471V0105X · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1134532799
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2014 (12.195576599192 yrs)
- Last Updated
- Jun 10, 2014
- Licenses
-
163424 (NY)163424 (NY)163424 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
52 HARDING STEAST NORTHPORT, NY, 117311111Browse NY providers · Browse ZIP 11731
- Phone
- 9176037871
- Primary Specialty
-
2471V0105X
2471V0105X
- Additional Specialty
- Diagnostic Sonographer
- Additional Specialty
- 2471V0105X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.