Individual
MR. CHRISTOPHER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8 TECHNOLOGY DRIVE, SUITE 104, EAST SETAUKET, NY 11733
(516) 704-7447
Mailing address
8 TECHNOLOGY DRIVE, SUITE 104, EAST SETAUKET, NY 11733
(516) 704-7447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012427
NY
Other
Enumeration date
04/17/2008
Last updated
02/07/2023
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