| NPI | 1710269907 |
|---|---|
| Doing Business As | COMMUNITY CARE PEDIATRICS - MALTA |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 206716) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |