Organization
TOTAL CARE & REHABILITATION MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB KODSI M.D. P.H.D. (OWNER)
(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
5 MAIN ST STE 6, QUEENSBURY, NY 12804-4067
(518) 798-2225
(518) 798-2807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0101611
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
239223
NY
261QP2000X
Physical Therapy Clinic/Center
0253741
NY
261QP2000X
Physical Therapy Clinic/Center
028558-1
NY
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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