William R Latreille JR. M.D.

NPI 1508885716 - Internal Medicine - 207R00000X

NPI Details
NPI 1508885716
Gender Male
Enumeration Date 07/19/2006
Last Updated 03/15/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
412 STATE ROUTE 37
HOGANSBURG NY, 13655, US
Phone (518) 358-3141
Fax
Business Location
412 STATE ROUTE 37
HOGANSBURG NY, 13655-3109, US
Phone (518) 358-3141
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 142278
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According to our database, Dr. William R Latreille JR. M.D. NPI is 1508885716, taxonomy code is 207R00000X and license number is 142278, license state is located at New York. William R Latreille JR. M.D. physically located at 412 State Route 37, Hogansburg NY, 13655. NPI Number William R Latreille JR. M.D. has the Individual type.

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1508885716 NPI number is provided on an as is basis without warranty of any kind. 1508885716 is maintained by the National Plan & Provider Enumeration System. The contents of William R Latreille JR. M.D. are for informational purposes only.