NPI | 1003257551 |
---|---|
Doing Business As | COMMUNITY CARE INTERNAL MEDICINE OF CLIFTON PARK |
Entity Type | Organization |
Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 202458) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2016-08-09 |