Provider Demographics
NPI:1356345995
Name:KONIG, ARNOLD GEORGE (MD)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:GEORGE
Last Name:KONIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 MEDICAL PLZ
Mailing Address - Street 2:STE 303
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2101
Mailing Address - Country:US
Mailing Address - Phone:516-676-0239
Mailing Address - Fax:516-676-0956
Practice Address - Street 1:10 MEDICAL PLZ
Practice Address - Street 2:STE 303
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2101
Practice Address - Country:US
Practice Address - Phone:516-676-0239
Practice Address - Fax:516-676-0956
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-10
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY118191207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY97303Medicare ID - Type UnspecifiedMEDICARE NUMBER
NYB80234Medicare UPIN