| NPI | 1699017350 |
|---|---|
| Doing Business As | COMMUNITY CARE FAMILY PRACTICE NISKAYUNA |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-10-06 |