Individual
MR. CHRISTOPHER ELWYN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
560 CENTER RD, WEST SENECA, NY 14224-2157
(716) 674-1509
(716) 674-1787
Mailing address
560 CENTER RD, WEST SENECA, NY 14224-2157
(716) 674-1509
(716) 674-1787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029461-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028200901
UNIVERA
NY
01
—
000529937001
BLUE CROSS & BLUE SHIELD OF WNY
NY
01
—
161585629
MANAGE PHYSICAL NETWORK(EMPIRE PLAN)
NY
01
—
9314274
INDEPENDENT HEALTH
NY
Enumeration date
07/17/2007
Last updated
12/24/2008
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