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Organization

COMMUNITY CARE PHYSICIANS, PLLC

Active
Parent organization
COMMUNITY CARE PHYSICIANS, PLLC
Other names
Interventional Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY CARE PHYSICIANS, PLLC
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization

Contact information

Practice address
6 WELLNESS WAY STE G05, LATHAM, NY 12110-2156
(518) 782-3938
(518) 782-3995
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary

Other

Enumeration date
03/20/2019
Last updated
01/31/2024
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