NPI | 1912279696 |
---|---|
Doing Business As | LATHAM INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 142320) |
Enumeration Date | 2012-01-27 |
Last Update Date | 2024-02-15 |