Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
CapitalCare Familly Medicine Averill Park
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
3305 ROUTE 43, AVERILL PARK, NY 12018
(518) 674-5797
(518) 674-2396
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
—
—
Other
Enumeration date
09/08/2011
Last updated
05/22/2018
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