Organization · Type 2 NPI

Community Care Physicians, PC

Family Medicine Physician · Ravena, NY

NPI number 1093097586 Active

Practice location

2524 US Route 9W
Ravena, NY 12143-2804

Call (518) 756-7390 Map

Fax (518) 756-8030

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	192285 (NY)

Family Medicine Physician: 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.

NPI record

NPI: 1093097586
Entity type: Organization (Type 2)
Issued: Sep 12, 2011
Last updated: Mar 14, 2019
Status: Active
Subpart: Yes of Community Care Physicians, PC

Other names

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Capitalcare Family Practice Ravena · doing business as

Authorized official

Debby Coons
Credentialing Manager
(518) 213-0478

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093097586

Community Care Physicians, PC's National Provider Identifier is 1093097586, issued on Sep 12, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ravena, NY. The record was last updated on Mar 14, 2019.