Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Burnt Hills Pediatrics & Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
1184 STATE ROUTE 50, BALLSTON LAKE, NY 12019-1923
(518) 384-1281
(518) 384-0321
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3799
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
184003
NY
Other
Enumeration date
10/04/2011
Last updated
10/14/2011
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