| NPI | 1467724146 |
|---|---|
| Doing Business As | COMMUNITY CARE PHYSICIANS PATHOLOGY LAB |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NY 179400) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |