Individual
MS. MALKA KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
238 AYCRIGG AVE, UNIT A, PASSAIC, NJ 07055-4775
(973) 685-9177
(973) 246-9176
Mailing address
238 AYCRIGG AVE, UNIT A, PASSAIC, NJ 07055-4775
(973) 685-9177
(973) 246-9176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
006396
NY
225X00000X
Occupational Therapist
46TR00455400
NJ
225XH1200X
Hand Occupational Therapist
Primary
9911000100
NJ
225XH1200X
Hand Occupational Therapist
9911000100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02284715
—
NY
01
—
03500600
CIGNA
—
01
—
1370057
UHC
—
01
—
1699825
GHI
—
01
—
7185402
AETNA
—
01
—
811127
MPN
—
01
—
P11211193
MULTIPLAN
—
01
—
P2665470
OXFORD
—
01
—
QS5832
BCBS
—
Enumeration date
11/28/2006
Last updated
03/02/2009
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