Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Community Care Pediatrics - Saratoga
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Mailing address
6 MOUNTAIN LEDGE, GANSEVOORT, NY 12831-2539
(518) 584-0355
(518) 583-7665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
135597
NY
Other
Enumeration date
09/13/2011
Last updated
05/14/2015
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