Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Capital District OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
5 ELM AVE, SUITE 2, DELMAR, NY 12054-3702
(518) 439-9363
(518) 439-4018
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
207V00000X
Obstetrics & Gynecology Physician
Primary
184827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01450619
—
NY
Enumeration date
09/25/2006
Last updated
10/25/2013
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