Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Parent organization
THE PLASTIC SURGERY CENTER AT COMMUNITY CARE PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PLASTIC SURGERY CENTER AT COMMUNITY CARE PHYSICIANS
Authorized official
DEBBY COONS (CREDENTIALING COORIDNATOR)
(518) 213-0478
Entity
Organization
Contact information
Practice address
101 JORDAN RD, SUITE 103, TROY, NY 12180-8343
(518) 274-6829
(518) 874-3723
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
208200000X
Plastic Surgery Physician
Primary
256381
NY
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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