Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
WE Care at Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
713 TROY SCHENECTADY RD, SUITE 215, LATHAM, NY 12110-2490
(518) 713-5347
(518) 713-5359
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
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
211086
NY
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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