Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Community Care Physical Therapy - Latham
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 G09, LATHAM, NY 12110-2156
(518) 785-6222
(518) 220-9506
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010879
NY
Other
Enumeration date
01/27/2012
Last updated
01/25/2024
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