Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Community Care Urology - Niskayuna
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
2125 RIVER RD, SUITE 104, SCHENECTADY, NY 12309-1135
(518) 836-3600
(518) 836-3664
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
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
09/20/2023
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