COMMUNITY CARE PHYSICIANS PC NPI 1932621380

NPI Information

  • NPI: 1932621380
  • Provider Name: COMMUNITY CARE PHYSICIANS, PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: COMMUNITY CARE UROLOGY - LATHAM
  • CLIA Number: 33D0161635
  • Address: 6 WELLNESS WAY STE G01
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 836-3600

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NPI Details

COMMUNITY CARE PHYSICIANS, PC is an urology in Latham, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. COMMUNITY CARE PHYSICIANS, PC NPI is 1932621380. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Care Urology - Latham.

The provider's business location address is:

6 WELLNESS WAY STE G01
LATHAM, NY
ZIP 12110-156
Phone: (518) 836-3600
Fax: (518) 836-3664

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 33D0161635 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/7/2017 and was last updated on 3/4/2024.

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
1208800000XUrologyNEW YORKYes

What is NPI?

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This page was last updated on: 11/21/2025

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