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Organization

COMMUNITY CARE PHYSICIANS, PC

Active
Other names
Community Care Delmar Medical Office
Organization subpart
No

Provider details

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

Contact information

Practice address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Mailing address
250 DELAWARE AVE, DELMAR, NY 12054-1420
(518) 439-8077
(518) 439-8070

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
136154
NY

Other

Enumeration date
09/13/2011
Last updated
09/13/2011
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