Individual
ELKIN GREY KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MS OTR
Contact information
Practice address
555 SAINT JOSEPHS BLVD STE A, ELMIRA, NY 14901-3223
(076) 733-6541
Mailing address
512 MORLEY PL, ELMIRA, NY 14904-2630
(716) 725-3703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018272
NY
225XP0200X
Pediatric Occupational Therapist
018272
NY
Other
Enumeration date
09/05/2013
Last updated
10/28/2024
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