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Organization

COMMUNITY CARE PHYSICIANS, PLLC

Active
Parent organization
COMMUNITY CARE PHYSICIANS, PLLC
Other names
CCP Central Clinical Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY CARE PHYSICIANS, PLLC
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization

Contact information

Practice address
1783 ROUTE 9, SUITE 101, CLIFTON PARK, NY 12065
(518) 881-1091
(518) 881-0796
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
12/18/2023
Last updated
04/11/2025
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