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Organization

COMMUNITY CARE PHYSICIANS, PC

Active
Other names
The Audiology Center at Community Care Physicians
Organization subpart
No

Provider details

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

Contact information

Practice address
6 WELLNESS WAY STE G10, LATHAM, NY 12110-2156
(518) 785-6566
(518) 640-6756
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001103
NY

Other

Enumeration date
01/27/2012
Last updated
01/23/2024
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