Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Upstate Hematology Oncology PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE STAMAS (CREDENTIALING COORDINATOR)
(518) 782-2742
Entity
Organization
Contact information
Practice address
2125 RIVER ROAD, SUITE 100, NISKAYUNA, NY 12309
(518) 836-3030
(518) 836-3020
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
207RH0000X
Hematology (Internal Medicine) Physician
1579631
NY
207RX0202X
Medical Oncology Physician
Primary
1579631
NY
Other
Enumeration date
03/16/2007
Last updated
12/03/2013
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