Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Parent organization
COMMUNITY CARE PHYSICIANS, PC
Other names
ImageCare Balltown
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE PHYSICIANS, PC
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
2546 BALLTOWN RD., SUITE 100, SCHENECTADY, NY 12309
(518) 372-1344
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
176417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01322398
—
NY
Enumeration date
08/19/2008
Last updated
03/15/2019
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