| Doctor Name: | ANDREW KONESKY |
| NPI Number: | 1598179640 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 107198 |
| Business Practice Address: | 7 Vauxhall St New London, CT - 063205711 |
| Business Phone Number: | 8604422797 |
| Business Fax Number: | 8607013776 |
| Mailing Address: | 255 Hempstead St, NEW LONDON |
| State: | CT |
| Postal Code: | 063206204 |
| Phone Number: | 8604432896 |
| Fax Number: | 8604425909 |
| NPI Enumeration Date: | 06/17/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 107198 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |