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Organization
KT MEDICAL HEALTHCARE PC
Active
Organization
KT MEDICAL HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL AZIZ TADROS M.D. (OWNER)
(347) 721-3425
Entity
Organization
Contact information
Practice address
6517 MYRTLE AVE, GLENDALE, NY 11385-6248
(347) 721-3425
Mailing address
6517 MYRTLE AVE, GLENDALE, NY 11385-6248
(347) 721-3425
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
196376
NY
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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