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COMMUNITY CARE PHYSICIANS PC NPI 1164704136


NPI Information

NPI: 1164704136
Provider Name: COMMUNITY CARE PHYSICIANS, PC

Doing Business As: CAPITALCARE DEVELOPMENTAL PEDIATRICS

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
6 WELLNESS WAY STE 101
LATHAM, NY
ZIP 12110
Phone: (518) 782-7733
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COMMUNITY CARE PHYSICIANS, PC is a developmental - behavioral pediatrics pediatrics in Latham, NY. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. COMMUNITY CARE PHYSICIANS, PC NPI is 1164704136. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Capitalcare Developmental Pediatrics.

The provider's business location address is:

6 WELLNESS WAY STE 101
LATHAM, NY
ZIP 12110-156
Phone: (518) 782-7733
Fax: (518) 782-0800

The provider's authorized official is Debby Coons .
The authorized official title is Credentialing Manager and has the following contact phone number (518) 213-0478.

The enumeration date for this NPI number is 9/15/2011 and was last updated on 2/12/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral Pediatrics119952NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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