Organization
COMMUNITY CARE PHYSICIANS
Active
Other names
Community Care Family Practice Niskayuna
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
2125 RIVER RD STE 301, SCHENECTADY, NY 12309-1136
(518) 280-8470
(518) 280-8471
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
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
03/20/2013
Last updated
10/06/2022
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