NPI | 1770867103 |
---|---|
Doing Business As | COMMUNITY CARE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 184866) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2016-08-24 |