Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Parent organization
COMMUNITY CARE PHYSICIANS, PC
Other names
CapitalCare Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE PHYSICIANS, PC
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
501 NEW KARNER RD, SUITE 1A, ALBANY, NY 12205-3882
(518) 452-1337
(518) 724-6660
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
133V00000X
Registered Dietitian
—
—
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NY
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208M00000X
Hospitalist Physician
—
NY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02177719
—
NY
01
—
3416
CDPHP GROUP ID NUMBER
NY
01
—
94866
MVP GROUP ID NUMBER
NY
Enumeration date
05/09/2006
Last updated
03/14/2019
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