Individual
JACQUES PICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.R.S.C. (C)
Contact information
Practice address
10 HEALEY AVE, PLATTSBURGH, NY 12901-2413
(518) 566-7930
(518) 566-7932
Mailing address
10 HEALEY AVE, PLATTSBURGH, NY 12901-2413
(518) 566-7930
(518) 566-7932
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
219568-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000499084001
BLUE SHIELD NORTHEASTERN
NY
05
—
02203029
—
NY
01
—
141828127
UNITED HEALTHCARE
NY
01
—
5R609
BLUE CROSS
NY
Enumeration date
01/24/2006
Last updated
06/28/2012
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