Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Vascular Interventional Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
123 QUAKER RD, SUITE 104, QUEENSBURY, NY 12804-1714
(518) 782-3799
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
2086S0129X
Vascular Surgery Physician
Primary
176073
NY
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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