Doctor Name: | CARY VACHON |
NPI Number: | 1376854646 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | LP02070 |
Business Practice Address: | 3757 Carman Rd Suite 100 Schenectady, NY - 123035438 |
Business Phone Number: | 5183557063 |
Business Fax Number: | 5183570646 |
Mailing Address: | 3757 Carman Rd, Suite 100 SCHENECTADY |
State: | NY |
Postal Code: | 123035438 |
Phone Number: | 5183557063 |
Fax Number: | 5183570646 |
NPI Enumeration Date: | 07/01/2010 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | LP02070 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | RI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |