| NPI | 1548541246 |
|---|---|
| Doing Business As | COMMUNITY CARE FAMILY PRACTICE BALLSTON SPA |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2023-09-26 |