Koenigsberg, Marlon R
Koenigsberg, Marlon R is an individual health care provider with primary practice located at 850 Hopkins Road , Williamsville NY 14221-1729. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Koenigsberg, Marlon R can be contacted via phone (716) 688-9641.Contact Information
Primary practice address
850 Hopkins Road
Williamsville NY 14221-1729
Phone: (716) 688-9641
Fax: (716) 688-9645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 008415 | New York |
Profile Details
| NPI number | 1538112164 |
|---|---|
| LBN Legal business name | Koenigsberg, Marlon R |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 9th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538112164 | NPPES |
| New York | MEDICAID | 00930589 |
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