Organization · NPI-2

Community Care Physicians, PC

Family Medicine · Albany, NY

NPI number1811946775

StatusActive

Last updated in NPPESMar 14, 2019

Details

NPI: 1811946775
Entity type: Organization (NPI-2)
Legal business name: Community Care Physicians, PC
Organization subpart: Yes
Enumeration date: May 9, 2006
Last updated: Mar 14, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207RP1001X	Internal Medicine, Pulmonary Disease	–	NY
207R00000X	Internal Medicine	–	–
208000000X	Pediatrics	–	–
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	–	–
2080P0006X	Pediatrics, Developmental - Behavioral Pediatrics	–	–
207RN0300X	Internal Medicine, Nephrology	–	–
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
133V00000X	Dietitian, Registered	–	–
207K00000X	Allergy & Immunology	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
208M00000X	Hospitalist	–	NY
363A00000X	Physician Assistant	–	–
363L00000X	Nurse Practitioner	–	–

Other names

Capitalcare Medical Group (Former Legal Business Name)

Practice location

501 New Karner Rd
Suite 1a
Albany, NY 12205-3882

Phone 518-452-1337 · Fax 518-724-6660

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461

Phone 518-782-3700 · Fax 518-782-3799

Authorized official

Debby Coons
Credentialing Manager
5182130478

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