Healthcare Provider Details

I. General information

NPI: 1831127323
Provider Name (Legal Business Name): CHRISTOPHER KOENIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1468 MADISON AVE
NEW YORK NY
10029-6508
US

IV. Provider business mailing address

PO BOX 23650
NEWARK NJ
07189-0001
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-0440
  • Fax: 212-828-4188
Mailing address:
  • Phone: 800-832-8244
  • Fax: 207-753-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number175916-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: