| Organization Name: | COMMUNITY CARE PHYSICIANS, PC |
| NPI Number: | 1184996860 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR) |
| Mailing Address: | 81 Miller Rd Suite 500 Castleton |
| State: | NY US |
| Postal Code: | 120334035 |
| Phone Number: | 5182130399 |
| Fax Number: | 5184790428 |
| NPI Enumeration Date: | 01/27/2012 |
| NPI Last Update Date: | 01/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 248413 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |