Individual
MR. CHRISTOPHER ELWYN KOENIG
Active
Individual
MR. CHRISTOPHER ELWYN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
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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