| NPI | 1023380714 |
|---|---|
| Doing Business As | COMMUNITY CARE LAB CARE |
| Entity Type | Organization |
| Authorized Contact | DIANE STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 149118) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-03-19 |