| The Child Neurology Group Of Commuity Care Physicians | |
|
1783 Route 9 Suite 101 Halfmoon NY 12065-2409 | |
| (518) 782-3810 | |
| (518) 782-3838 |
| Full Name | The Child Neurology Group Of Commuity Care Physicians |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 1783 Route 9, Halfmoon, New York |
| Authorized Official Name and Position | Diane M Stamas (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 5187823742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Child Neurology Group Of Commuity Care Physicians 711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 Ph: (518) 782-3700 | The Child Neurology Group Of Commuity Care Physicians 1783 Route 9 Suite 101 Halfmoon NY 12065-2409 Ph: (518) 782-3810 |
| NPI Number | 1508227323 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508227323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 237138 (New York) | Primary |
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