Organization
COPPS MEDICAL PC
Active
Other names
Cedars Occupational Physical Pain and Spine Medical PC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH P. KALYOUSSEF (OFFICE MANAGER)
(315) 797-1340
Entity
Organization
Contact information
Practice address
100 GENESEE ST, NEW HARTFORD, NY 13413-2328
(315) 797-1340
(315) 797-2403
Mailing address
100 GENESEE ST, NEW HARTFORD, NY 13413-2328
(315) 797-1340
(315) 797-2403
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
176944
NY
Other
Enumeration date
02/14/2007
Last updated
02/23/2012
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