Individual
MS. VICKI C KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
231 MAIN ST, SUITE 201, NEW PALTZ, NY 12561-1313
(845) 255-2398
Mailing address
231 MAIN ST, SUITE 201, NEW PALTZ, NY 12561-1313
(845) 255-2398
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002114-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
960486
MVP HEALTH PLAN
NY
Enumeration date
02/02/2007
Last updated
05/05/2015
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