| Community Care Physicians, Pc | |
|
2524 Us Route 9w Ravena NY 12143-2804 | |
| (518) 756-7390 | |
| (518) 756-8030 |
| Full Name | Community Care Physicians, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2524 Us Route 9w, Ravena, 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 2524 Us Route 9w Ravena NY 12143-2804 Ph: (518) 756-7390 |
| NPI Number | 1093097586 |
|---|---|
| Provider Enumeration Date | 09/12/2011 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093097586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 192285 (New York) | Primary |