MEDICARE: DR. CHRISTIAN KNOBLOCH DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	99841	NY
2	207R00000X	Internal Medicine Physician	99841	GA
3	207RI0200X	Infectious Disease Physician	99841	NY

General Provider Information

NPI Number	:	1821730854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTIAN KNOBLOCH DO

Provider Business Mailing Address
First Line	:	321 E 79TH ST APT 2A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-0908
Country	:	US
Telephone Number	:	253-217-6538
Fax Number	:

Provider Business Practice Location Address
First Line	:	234 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5504
Country	:	US
Telephone Number	:	706-802-3025
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	12/26/2025

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