| NPI | 1932621380 |
|---|---|
| Doing Business As | COMMUNITY CARE UROLOGY - LATHAM |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-03-04 |