Peter Gerhardt Kooienga, DO
Internal Medicine in Rye, NY. Individual provider (NPI-1).
NPI number1316632185
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1316632185
- Entity type
- Individual (NPI-1)
- Name
- Peter Gerhardt Kooienga
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2023
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 343860 | NY | Yes |
Practice location
1 Theall RdRye, NY 10580-1404
Phone 914-848-8700
Mailing address
7901 BroadwayElmhurst, NY 11373-1329
Phone 718-334-3437
Other practice locations
7901 Broadway
Elmhurst, NY 11373-1329
Elmhurst, NY 11373-1329
Phone 718-334-3437
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