| NPI | 1083030506 |
|---|---|
| Doing Business As | COMMUNITY CARE INTERVENTIONAL AND ENDOSCOPY SUITE |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Coordinator 518-213-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 198648) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2024-05-08 |