MARLON KOENIGSBERG (NPI# 1538112164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538112164 |
| Entity Type | Individual |
| Full Name | MARLON KOENIGSBERG |
| Credential | PHD |
| Practice Address |
850 Hopkins Road Ub Family Medicine Williamsville NY 14221 |
| Mailing Address |
462 Grider St Bldg Cc Room 151 Buffalo NY 14215 |
| Practice Telephone | 7165683400 |
| Practice Fax Number | 7165683022 |
| Mailing Telephone | 7168986206 |
| Mailing Fax Number | 7168984750 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
008415 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00930589 | 05 |
| Street Address |
850 HOPKINS ROAD UB FAMILY MEDICINE |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134785181 | Philip Louw Fourie | Student in an Organized Health Care Education/Training Program | 850 Hopkins Road, Williamsville, NY 14221 | 2019-05-15 |
| 1871099085 | Mustafa Mohmand | Student in an Organized Health Care Education/Training Program | 850 Hopkins Road, Williamsville, NY 14221 | 2018-04-05 |
| 1104353408 | Michelle Laura Zawartka | Student in an Organized Health Care Education/Training Program | 850 Hopkins Road, Williamsville, NY 14221 | 2017-05-17 |
| 1982081030 | Sean Martin Kings | Student in an Organized Health Care Education/Training Program | 850 Hopkins Road, Ubmd Family Medicine of Amherst, Williamsville, NY 14221 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1235682998 | Alla Andelman | Psychologist | 30 N Cayuga Rd Uppr, Williamsville, NY 14221-5454 | 2016-07-29 |
| 1780032730 | Christina Timmons | Psychologist | 30 N Cayuga Rd, Williamsville, NY 14221-5454 | 2016-06-01 |
| 1417174780 | Sandra Jensen | Psychologist | 5820 Main St Ste 505a, Williamsville, NY 14221-5734 | 2007-04-19 |
| 1700861952 | Barbara Jean Roos | Psychologist | 5629 Main St, Suite 201, Williamsville, NY 14221-5450 | 2005-12-09 |
| 1053300772 | Carol J. Descutner | Psychologist | 8265 Sheridan Dr, Williamsville, NY 14221-4115 | 2005-10-15 |
| 1639163280 | Diane S Tyrrell | Psychologist | 5500 Main St, Suite 207, Williamsville, NY 14221 | 2005-09-08 |
| 1679567952 | Theresa Jaworski | Psychologist | 5330 Main St, Suite 240, Williamsville, NY 14221-5360 | 2005-09-01 |
| 1962496240 | Mary Ellen Rubin | Psychologist | 6245 Sheridan Dr, Suite 218, Williamsville, NY 14221-4834 | 2005-09-01 |
| 1164420873 | Carol Suzanne Evans | Psychologist | 37 S Cayuga Rd, Williamsville, NY 14221-6705 | 2005-07-07 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on MARLON KOENIGSBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.