Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Community Care Schodack
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
35 EMPIRE STATE BLVD, CASTLETON, NY 12033-9777
(518) 477-2167
(518) 477-5182
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
207R00000X
Internal Medicine Physician
Primary
232371
NY
Other
Enumeration date
09/14/2011
Last updated
11/21/2016
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