Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Partner's in Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR)
(518) 782-3742
Entity
Organization
Contact information
Practice address
101 JORDAN RD, SUITE 104, TROY, NY 12180-8343
(518) 274-9126
(518) 270-1905
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
207Q00000X
Family Medicine Physician
Primary
251316
NY
Other
Enumeration date
09/14/2011
Last updated
08/22/2013
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