Community Care Physicians, PLLC
Family Medicine in Latham, NY. Organization (NPI-2).
NPI number1790796035
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1790796035
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Care Physicians, PLLC
- Organization subpart
- Yes
- Enumeration date
- Aug 11, 2006
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | NY | Yes |
Other names
- Troy Family Physicians Of Community Care Physicians (Doing Business As)
Practice location
6 Wellness Way Ste 106Latham, NY 12110-2142
Phone 518-237-7363 · Fax 518-237-8995
Mailing address
711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461
Phone 518-782-3700 · Fax 518-782-3799
Authorized official
Debby Coons
Credentialing Manager
5182130478
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