Provider Demographics
NPI:1912996273
Name:CHABOT, FRANCIS E (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:E
Last Name:CHABOT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2209 GENESEE STREET
Mailing Address - Street 2:BUSINESS OFFICE
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5930
Mailing Address - Country:US
Mailing Address - Phone:315-801-3282
Mailing Address - Fax:315-801-8391
Practice Address - Street 1:117 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:NY
Practice Address - Zip Code:13480-1165
Practice Address - Country:US
Practice Address - Phone:315-841-4178
Practice Address - Fax:315-841-4338
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2019-04-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY143493-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY080151018OtherRRMCR
NY00714558Medicaid
NYB82128Medicare UPIN
NY080151018OtherRRMCR