Provider Demographics
NPI:1740215011
Name:KOCH, CHRISTINE F (DC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:F
Last Name:KOCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 HILLSIDE AVE
Mailing Address - Street 2:SUITE T
Mailing Address - City:WILLISTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11596
Mailing Address - Country:US
Mailing Address - Phone:516-877-9800
Mailing Address - Fax:516-877-9801
Practice Address - Street 1:99 HILLSIDE AVE
Practice Address - Street 2:SUITE T
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596
Practice Address - Country:US
Practice Address - Phone:516-877-9800
Practice Address - Fax:516-877-9801
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0072191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5910074OtherAETNA
NYP899167OtherOXFORD
NYX5833OtherBCBS
NY5899794OtherGHI
NY2C2814OtherHEALTHNET
NY5910074OtherAETNA
NY5899794OtherGHI