Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Parent organization
COMMUNITY CARE PHYSICIANS, PC
Other names
CapitalCare Family Practice Ravena
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE PHYSICIANS, PC
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
2524 US ROUTE 9W, RAVENA, NY 12143-2804
(518) 756-7390
(518) 756-8030
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
192285
NY
Other
Enumeration date
09/12/2011
Last updated
03/14/2019
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