Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
CapitalCare Integrated Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
2125 RIVER RD STE 303, NISKAYUNA, NY 12309-1135
(518) 452-1337
(518) 724-6660
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
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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