OrganizationActive
Community Care Physicians, PC
NPI 1164704136 · Developmental - Behavioral Pediatrics Physician · Latham, NY
Provider details
- NPI number
- 1164704136
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Community Care Physicians, PC
- Authorized official
- Debby Coons, Credentialing Manager
- License
- 119952 (NY)
Practice location
6 Wellness Way Ste 101
Latham, NY 12110-2156
Phone: (518) 782-7733
Fax: (518) 782-0800
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2024-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.