# KT MEDICAL HEALTHCARE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063871549
- **Authorized official:** DR. KAMAL AZIZ TADROS M.D. (OWNER)
- **Authorized official phone:** (347) 721-3425

## Contact information

- **Practice address:** 6517 MYRTLE AVE, GLENDALE, NY 11385-6248
- **Practice address phone:** (347) 721-3425
- **Mailing address:** 6517 MYRTLE AVE, GLENDALE, NY 11385-6248
- **Mailing address phone:** (347) 721-3425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 261QR0400X | Rehabilitation Clinic/Center | 196376 | NY | Yes |

## Other

- **Enumeration date:** 02/12/2016
- **Last updated:** 02/12/2016