Organization
COMMUNITY CARE PHYSICIANS, PLLC
Active
Other names
Community Care Urology - Clifton Park
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
6 WELLNESS WAY STE G07, LATHAM, NY 12110-2135
(518) 836-3600
(518) 383-2185
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/15/2025
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