Basic Information
Provider Information
NPI: 1104861293
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VACHON
FirstName: FRANCOIS
MiddleName: MARC ANDRE
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 711 TROY SCHENECTADY RD STE 203
Address2:  
City: LATHAM
State: NY
PostalCode: 121102461
CountryCode: US
TelephoneNumber: 5187823700
FaxNumber: 5187823799
Practice Location
Address1: 3757 CARMAN RD
Address2: SUITE 100
City: SCHENECTADY
State: NY
PostalCode: 123035418
CountryCode: US
TelephoneNumber: 5183557063
FaxNumber: 5183570646
Other Information
ProviderEnumerationDate: 06/20/2006
LastUpdateDate: 01/31/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X159343NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
570031501NYAETNAOTHER
69198101NYEMPIRE BCOTHER
00040108100101NYBSNENYOTHER
1000207901NYCDPHPOTHER
0106266005NY MEDICAID
0115201NYMVPOTHER
07021600007301NYFIDELISOTHER
20019501NYSENIOR WHOLE HEALTHOTHER
4736501NYGHI/HMOOTHER


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