Provider Demographics
NPI:1518043678
Name:TOTALCARE MEDICAL PC
Entity Type:Organization
Organization Name:TOTALCARE MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DOCTOR OF OSTEOPATHIC MEDICIN
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEHINE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:518-798-2225
Mailing Address - Street 1:5 MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:QUEENSBURY
Mailing Address - State:NY
Mailing Address - Zip Code:12804
Mailing Address - Country:US
Mailing Address - Phone:518-798-2225
Mailing Address - Fax:518-798-2807
Practice Address - Street 1:5 MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804
Practice Address - Country:US
Practice Address - Phone:518-798-2225
Practice Address - Fax:518-798-2807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty