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Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Community Care Physicians Pathology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
2 CLARA BARTON DR, SUITE 101, ALBANY, NY 12208-3472
(518) 213-0472
(518) 677-1810
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
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
179400
NY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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