| Community Care Physicians, Pc | |
| 
					286 Stage Rd Charlton NY 12019  | |
| (518) 399-2101 | |
| (518) 399-2130 | 
| Full Name | Community Care Physicians, Pc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 286 Stage Rd, Charlton, New York | 
| Authorized Official Name and Position | Debby Coons (CREDENTIALING MANAGER) | 
| Authorized Official Contact | 5182130478 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Community Care Physicians, Pc 711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 Ph: (518) 782-3700  | Community Care Physicians, Pc 286 Stage Rd Charlton NY 12019 Ph: (518) 399-2101  | 
| NPI Number | 1598046203 | 
|---|---|
| Provider Enumeration Date | 09/08/2011 | 
| Last Update Date | 05/22/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598046203 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |