# COPPS MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedars Occupational Physical Pain and Spine Medical PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871636720
- **Authorized official:** JOSEPH P. KALYOUSSEF (OFFICE MANAGER)
- **Authorized official phone:** (315) 797-1340

## Contact information

- **Practice address:** 100 GENESEE ST, NEW HARTFORD, NY 13413-2328
- **Practice address phone:** (315) 797-1340
- **Practice address fax:** (315) 797-2403
- **Mailing address:** 100 GENESEE ST, NEW HARTFORD, NY 13413-2328
- **Mailing address phone:** (315) 797-1340
- **Mailing address fax:** (315) 797-2403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 176944 | NY | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 02/23/2012