Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
The Child Neurology Group of Commuity Care Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
1783 ROUTE 9, SUITE 101, HALFMOON, NY 12065-2409
(518) 782-3810
(518) 782-3838
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
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
237138
NY
Other
Enumeration date
03/08/2016
Last updated
08/29/2016
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