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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