Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Latham Pediatrics
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 102, LATHAM, NY 12110-2156
(518) 713-2099
(518) 783-7506
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
147740
NY
Other
Enumeration date
01/27/2012
Last updated
02/08/2024
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