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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