Clint Koenig (NPI# 1124000781, PAC ID# 7113822131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1124000781 |
| PAC ID by PECOS | 7113822131 |
| Professional Enrollment ID | I20090831000505 |
| Full Name | Clint Koenig |
| Organization Legal Name | FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC. |
| Address |
6692 Middle Rd Suite 2100 Sodus NY 14551-9602 |
| Phone Number | 3154831199 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | INFECTIOUS DISEASE |
| Group Practice PAC ID | 0244251486 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330235 | AUBURN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6692 Middle Rd, Suite 2100, Sodus, NY 14551-9602 | 3154831199 | FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC. |
| 6692 Middle Rd, Sodus, NY 14551-9602 | 3154831199 | FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC. |
| Organization Legal Name | FINGER LAKES MIGRANT HEALTH CARE PROJECT, INC. |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca A Martin | Nurse Practitioner | Finger Lakes Migrant Health Care Project, Inc. | 601 B W Washington St, Geneva, NY 14456-2119 |
| Darlene Brezinsky | Nurse Practitioner | Finger Lakes Migrant Health Care Project, Inc. | 112 Kimball Ave, Penn Yan, NY 14527-1816 |
| Jose R Canario Jr. | Family Medicine | Finger Lakes Migrant Health Care Project, Inc. | 7150 N Main St, Ovid, NY 14521-9401 |
| Ellen M Hey | Nurse Practitioner | Finger Lakes Migrant Health Care Project, Inc. | 601 B W Washington St, Geneva, NY 14456-2119 |
| Jessica Z Sullivan | Physician Assistant | Finger Lakes Migrant Health Care Project, Inc. | 601 B W Washington St, Geneva, NY 14456-2119 |
| Raquel Reyes | Internal Medicine | Finger Lakes Migrant Health Care Project, Inc. | 601 B W Washington St, Geneva, NY 14456-2119 |
| Rachel E Long | Family Medicine | Finger Lakes Migrant Health Care Project, Inc. | 601 B W Washington St, Geneva, NY 14456-2119 |
| Robert J Shelly | Pediatric Medicine | Finger Lakes Migrant Health Care Project, Inc. | 601 B W Washington St, Geneva, NY 14456-2119 |
| Janine I Brink | Nurse Practitioner | Finger Lakes Migrant Health Care Project, Inc. | 601 B W Washington St, Geneva, NY 14456-2119 |
| Meghan Hutchings | Nurse Practitioner | Finger Lakes Migrant Health Care Project, Inc. | 60 Main St, Port Byron, NY 13140-9767 |
| Street Address |
6692 MIDDLE RD SUITE 2100 |
| City | SODUS |
| State | NY |
| Zip | 14551-9602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Wittek | Physician Assistant | Rochester General Hospital | 6692 Middle Rd, Sodus, NY 14551-9602 |
| Faig W Morgos | Obstetrics/gynecology | 6692 Middle Rd, Suite 1900, Sodus, NY 14551-9602 | |
| Nicholas Zelie | Physician Assistant | Rochester General Hospital | 6692 Middle Rd, Sodus, NY 14551-9602 |
| M Richard Acome | Physician Assistant | Rochester General Hospital | 6692 Middle Rd, Sodus, NY 14551-9602 |
| Diane M Verstraete | Nurse Practitioner | Finger Lakes Migrant Health Care Project, Inc. | 6692 Middle Rd, Suite 2100, Sodus, NY 14551-9602 |
| David P Hahn | Nurse Practitioner | Finger Lakes Migrant Health Care Project, Inc. | 6692 Middle Rd, Sodus, NY 14551-9602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Mogan | Anesthesiology | Anesthesia Associates of Rochester, P.C. | 6600 Middle Rd, Sodus, NY 14551-9648 |
| Melvyn J.y. Chin | Anesthesiology | Anesthesia Associates of Rochester, P.C. | 6600 Middle Rd, Sodus, NY 14551-9648 |
| Kariappa Narayan | Anesthesiology | Anesthesia Associates of Rochester, P.C. | 6600 Middle Rd, Sodus, NY 14551-9648 |
| City | SODUS |
| Zip Code | 14551 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | SODUS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Clint Koenig.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.