Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Parent organization
COMMUNITY CARE PHYSICIANS, PC
Other names
CapitalCare Developmental Pediatrics
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
6 WELLNESS WAY STE 101, LATHAM, NY 12110-2156
(518) 782-7733
(518) 782-0800
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
119952
NY
Other
Enumeration date
09/15/2011
Last updated
02/12/2024
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