| NPI | 1326310012 |
|---|---|
| Doing Business As | COMMUNITY CARE PODIATRY - LATHAM |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N005875) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-02-07 |