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Community Care Physicians, PC

Family Medicine in Halfmoon, NY. Organization (NPI-2).

NPI number1770867103
StatusActive
Last updated in NPPESAug 24, 2016

Details

NPI
1770867103
Entity type
Organization (NPI-2)
Legal business name
Community Care Physicians, PC
Organization subpart
No
Enumeration date
Oct 4, 2011
Last updated
Aug 24, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine184866NYYes

Other names

  • Community Care Family Medicine (Doing Business As)

Practice location

1783 Route 9
Suite 204
Halfmoon, NY 12065-2409

Phone 518-371-9355 · Fax 518-373-9139

Mailing address

711 Troy Schenectady Rd
Suite 203
Latham, NY 12110-2442

Phone 518-782-3700 · Fax 518-782-3799

Authorized official

Diane M Stamas
Senior Credentialing Coordinator
5187823742

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Halfmoon, NY

All 9 Family Medicine Physician providers in Halfmoon · All 246 providers in Halfmoon

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