Organization
KOUMANIS MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD DERRICK MACNAUGHTON NP,DC (PARTNER)
(518) 798-2225
Entity
Organization
Contact information
Practice address
5 MAIN ST STE 6, QUEENSBURY, NY 12804-4067
(518) 798-2225
(518) 798-2807
Mailing address
13 CHESTER ST, GLENS FALLS, NY 12801-3194
(518) 798-2225
(518) 798-2807
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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