Organization
COMMUNITY CARE PHYSICIANS, PC
Active
Other names
Family Practice Great Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBY COONS (CREDENTIALING MANAGER)
(518) 213-0478
Entity
Organization
Contact information
Practice address
100 GREAT OAKS BLVD, SUITE 105, ALBANY, NY 12203
(518) 869-8007
(518) 869-8742
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
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
05/31/2018
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