COMMUNITY CARE PHYSICIANS PC NPI 1205387503

NPI Information

  • NPI: 1205387503
  • Provider Name: COMMUNITY CARE PHYSICIANS, PC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: VASCULAR INTERVENTIONAL CARE
  • Address: 123 QUAKER RD
    SUITE 104
    QUEENSBURY, NY
    ZIP 12804
  • Phone: (518) 782-3799

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NPI Details

COMMUNITY CARE PHYSICIANS, PC is a vascular surgery surgery in Queensbury, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. COMMUNITY CARE PHYSICIANS, PC NPI is 1205387503. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vascular Interventional Care.

The provider's business location address is:

123 QUAKER RD
SUITE 104
QUEENSBURY, NY
ZIP 12804-714
Phone: (518) 782-3799

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 10/21/2016 and was last updated on 10/21/2016.

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
12086S0129XSurgeryVascular Surgery176073NEW 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: 11/21/2025

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