COMMUNITY CARE PHYSICIANS PC NPI 1306128509

NPI Information

  • NPI: 1306128509
  • Provider Name: COMMUNITY CARE PHYSICIANS, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 33D0674736
  • Address: 6 WELLNESS WAY STE 114
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 785-5881

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NPI Details

COMMUNITY CARE PHYSICIANS, PC is a family medicine in Latham, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY CARE PHYSICIANS, PC NPI is 1306128509. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

6 WELLNESS WAY STE 114
LATHAM, NY
ZIP 12110-467
Phone: (518) 785-5881
Fax: (518) 785-1574

The provider's authorized official is Diane M Stamas .
The authorized official title is Senior Credentialing Coordinator and has the following contact phone number (518) 782-3742.

The CLIA number assigned to this NPI record is 33D0674736 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/13/2011 and was last updated on 11/5/2025.

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
1207Q00000XFamily Medicine218930NEW 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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