# COMMUNITY CARE PHYSICIANS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OB/GYN Health Center Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780956474
- **Authorized official:** DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
- **Authorized official phone:** (518) 782-3742

## Contact information

- **Practice address:** 5 SOUTHSIDE DR, SUITE 204, CLIFTON PARK, NY 12065-3870
- **Practice address phone:** (518) 274-0476
- **Practice address fax:** (518) 274-0497
- **Mailing address:** 711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
- **Mailing address phone:** (518) 782-3700
- **Mailing address fax:** (518) 782-3799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 231939 | NY | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/27/2012