Koch, Marc E.
Koch, Marc E. is an individual health care provider with primary practice located at 450 Mamaroneck Ave Ste 201 , Harrison NY 10528-2436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Koch, Marc E. can be contacted via phone (914) 637-3511.Contact Information
Primary practice address
450 Mamaroneck Ave Ste 201
Harrison NY 10528-2436
Phone: (914) 637-3511
Fax: (914) 560-2227
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD424232 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD424233 | Pennsylvania |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 192817 | New York |
Profile Details
NPI number | 1629069497 |
---|---|
LBN Legal business name | Koch, Marc E. |
Credentials | MD, MBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 2nd, 2005 |
Last updated | Jun 1st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629069497 | NPPES |
New York | MEDICAID | 01654448 | |
New York | MEDICAID | 1043365299 | |
New York | MEDICAID | 1017403330001 | |
New York | MEDICAID | 1548443153 |
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