Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Community Care Urgent Care - Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
1735 ROUTE 9, CLIFTON PARK, NY 12065-2421
(518) 640-6732
(518) 383-6737
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
208000000X
Pediatrics Physician
Primary
258377
NY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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