Most Relevant Information
Provider Data
| NPI Number: | 1003076365 |
| Provider Name: | SCOTT JONATHAN KOENIG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207XX0004X |
| Specialty: | Orthopaedic Surgery |
| License Number: | 273954 |
Most Important Dates
| Enumeration Date: | 06/11/2008 |
| Last Updated: | 10/27/2018 |
Provider Practice Location
45 CROSSWAYS PARK DR W
WOODBURY
NY
117972002
Practice Location Phone/Fax
| Phone: | 5165362800 |
| Fax: | 5169924637 |
Provider Mailing Location
1101 STEWART AVE STE 100N
GARDEN CITY
NY
115304892
Provider Mailing Phone/Fax
| Phone: | 5165362800 |
| Fax: |