Individual
CARY VACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3757 CARMAN RD, SUITE 100, SCHENECTADY, NY 12303-5438
(518) 355-7063
(518) 357-0646
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
270048
NY
390200000X
Student in an Organized Health Care Education/Training Program
LP02070
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03632139
—
NY
01
—
130923000113
FIDELIS
NY
01
—
5255770
AETNA
NY
01
—
7401D1
EMPIRE BCBS
NY
Enumeration date
07/01/2010
Last updated
01/18/2018
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