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General NPI Number Information
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NPI Number | 1720083306
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Entity Type | Individual
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Provider Name | STEVEN P KOENIG M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 30 E 40TH ST RM 203
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City | NEW YORK
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State | NY
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Zip | 10016-1201
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Country | US
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Telephone | 212-889-3550
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Fax | 212-696-1190
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Provider Business Mailing Address
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Address Line | 30 E 40TH ST RM 203
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City | NEW YORK
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State | NY
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Zip | 10016-1201
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Country | US
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Telephone | 212-889-3550
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Fax | 212-696-1190
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 115847
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License Number State | NY
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