| Community Care Family Medicine - Niskayuna | |
|
2125 River Rd Suite 104 Schenectady NY 12309-1135 | |
| (518) 713-5341 | |
| (518) 372-9729 |
| Full Name | Community Care Family Medicine - Niskayuna |
|---|---|
| Speciality | Family Medicine |
| Location | 2125 River Rd, Schenectady, 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 |
|---|---|
| Community Care Family Medicine - Niskayuna 711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 Ph: (518) 782-3700 | Community Care Family Medicine - Niskayuna 2125 River Rd Suite 104 Schenectady NY 12309-1135 Ph: (518) 713-5341 |
| NPI Number | 1720350408 |
|---|---|
| Provider Enumeration Date | 01/27/2012 |
| Last Update Date | 01/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720350408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 224542 (New York) | Primary |
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