Individual
RAFAEL ACHECAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2209 GENESEE ST, UTICA, NY 13501-5930
(315) 798-9788
(315) 798-9766
Mailing address
2405 GENESEE ST, UTICA, NY 13501-6214
(315) 798-9788
(315) 798-9766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD038829L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000952420001
—
PA
05
—
00931237
—
NY
01
—
050015064
RR MEDICARE
PA
01
—
11826747
CAQH
NY
05
—
2949508
—
NY
01
—
6013043
MVP
NY
01
—
80514000041
FIDELIS
NY
Enumeration date
05/08/2006
Last updated
11/23/2010
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