Provider Demographics
NPI:1255467783
Name:KOENIG, SETH JASON (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:JASON
Last Name:KOENIG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:STONY BROOK
Mailing Address - Street 2:500 COMMACK ROAD SUITE 206
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-675-2125
Mailing Address - Fax:631-675-2628
Practice Address - Street 1:200 MOTOR PKWY STE C-16
Practice Address - Street 2:
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-5114
Practice Address - Country:US
Practice Address - Phone:631-978-7633
Practice Address - Fax:631-621-4115
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2023-01-20
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Provider Licenses
StateLicense IDTaxonomies
RIMD17242207RP1001X, 207RP1001X
NY227330-1207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease