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Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Vascular Interventional Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
123 QUAKER RD, SUITE 104, QUEENSBURY, NY 12804-1714
(518) 782-3799
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
176073
NY
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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