| NPI | 1265714745 |
|---|---|
| Doing Business As | COMMUNITY CARE FAMILY PRACTICE COLONIE |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2020-01-30 |