Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Parent organization
COMMUNITY CARE PHYSICIANS, PC
Other names
CapitalCare Pediatrics Albany
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 EXECUTIVE PARK DRIVE, ALBANY, NY 12203-3791
(518) 641-6319
(518) 641-6850
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
208000000X
Pediatrics Physician
Primary
220865
NY
Other
Enumeration date
09/23/2011
Last updated
03/14/2019
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