| NPI | 1255603940 |
|---|---|
| Doing Business As | LATHAM GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 174159) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-04-03 |