National Provider Identifier
Marlon R Koenigsberg, PHD
Marlon R Koenigsberg, PHD is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Williamsville, NY and a listed phone number of (716) 688-9641.
Profile Overview
- NPI
- 1538112164
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- May 17, 2006
- Last Updated
- November 09, 2022
Practice Location
- 850 Hopkins Road
- Williamsville, NY 14221-1729
Phone: (716) 688-9641
Mailing Address
- 77 Goodell Street
- Ste. 240
- Buffalo, NY 14203-1243
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1538112164
- Entity Type
- Individual
- Last Name
- Koenigsberg
- First Name
- Marlon
- Middle Name
- R
- Name Prefix
- Dr.
- Credential
- PHD
- Mailing Street Address
- 77 Goodell Street
- Mailing Address Line 2
- Ste. 240
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1243
- Mailing Country
- US
- Mailing Phone
- (716) 645-9694
- Mailing Fax
- (716) 845-6699
- Practice Street Address
- 850 Hopkins Road
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-1729
- Practice Country
- US
- Practice Phone
- (716) 688-9641
- Practice Fax
- (716) 688-9645
- Enumeration Date
- May 17, 2006
- Last Updated
- November 09, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 09, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)
- Other Identifiers
- 00930589 (NY)