Individual
MR. ALEXANDER RACICOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1942 MILITARY TPKE, PLATTSBURGH, NY 12901-7375
(518) 310-3644
(518) 310-3645
Mailing address
1942 MILITARY TPKE, PLATTSBURGH, NY 12901-7375
(518) 310-3644
(518) 310-3645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018497
NY
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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