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Organization

COMMUNITY CARE PHYSICIANS, PC

Active
Other names
OBGYN Health Center Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-4742
Entity
Organization

Contact information

Practice address
250 DELAWARE AVE, SUITE 100, DELMAR, NY 12054-1420
(518) 274-0476
(518) 274-0497
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
207V00000X
Obstetrics & Gynecology Physician
Primary
153263
NY

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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