| NPI | 1255853065 |
|---|---|
| Doing Business As | COMMUNITY CARE DAYTIME URGENT CARE - LATHAM |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |