Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Capital Region Health Park
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
6 WELLNESS WAY STE 114, LATHAM, NY 12110-2467
(518) 785-5881
(518) 785-1574
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
218930
NY
Other
Enumeration date
09/13/2011
Last updated
11/05/2025
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