Individual
ROBERT MICHAEL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 WESTCHESTER PARK DR FL 4, WHITE PLAINS, NY 10604-3434
(914) 948-8448
(914) 948-0351
Mailing address
4 WESTCHESTER PARK DR STE 320, WHITE PLAINS, NY 10604-3497
(914) 948-8003
(914) 686-5478
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
221730-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02410391
—
NY
Enumeration date
04/12/2006
Last updated
02/13/2020
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