| NPI | 1336411024 |
|---|---|
| Doing Business As | COMMUNITY CARE DERMATOLOGY & MEDICAL AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentaling Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 225356) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-02-07 |