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Organization

COMMUNITY CARE PHYSICIANS, PC

Active
Other names
The Audiology Center at Community Care Physicians - Clifton Park
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization

Contact information

Practice address
1783 ROUTE 9, SUITE 206, HALFMOON, NY 12065-2409
(518) 783-3110
(518) 640-6756
Mailing address
711 TROY SCHCTDY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001103
NY

Other

Enumeration date
11/09/2016
Last updated
11/09/2016
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