Individual
DR. JEANNIE KAO KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
565 ABBOTT RD, REHABILITATION DEPARTMENT, BUFFALO, NY 14220-2039
(716) 821-4450
(716) 828-2765
Mailing address
PO BOX 563, GETZVILLE, NY 14068-0563
(716) 870-5340
(716) 639-5961
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2213431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025687702
UNIVERA
NY
01
—
000526519004
BLUE CROSS
NY
05
—
02273398
—
NY
01
—
3011286
INDEPENDENT HEALTH
NY
01
—
P00333863
MEDICARE RR
—
Enumeration date
04/20/2006
Last updated
06/20/2010
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