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Organization

COMMUNITY CARE PHYSICIANS, PC

Active
Other names
A.O. Fox Memorial Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization

Contact information

Practice address
ONE NORTON AVENUE, RADIOLOGY DEPARTMENT AO FOX MEMORIAL HOSPITAL, ONEONTA, NY 13820
(607) 431-5015
(607) 431-5102
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
2085R0202X
Diagnostic Radiology Physician
Primary
138003
NY

Other

Enumeration date
03/11/2014
Last updated
03/11/2014
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