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Organization

COMMUNITY CARE PHYSICIANS, PLLC

Active
Other names
Community Care Interventional and Endoscopy Suite
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBY COONS (CREDENTIALING COORDINATOR)
(518) 213-0478
Entity
Organization

Contact information

Practice address
6 WELLNESS WAY STE G04, LATHAM, NY 12110-2135
(518) 785-5884
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
198648
NY

Other

Enumeration date
03/07/2014
Last updated
05/08/2024
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