# NORTH COUNTRY NEUROLOGY PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447206495
- **Authorized official:** ABDUL LATIF MD (PRESIDENT)
- **Authorized official phone:** (315) 782-9003

## Contact information

- **Practice address:** 1340 WASHINGTON ST, WATERTOWN, NY 13601-4541
- **Practice address phone:** (315) 782-9003
- **Practice address fax:** (315) 782-9010
- **Mailing address:** PO BOX 91, WATERTOWN, NY 13601
- **Mailing address phone:** (315) 782-4207
- **Mailing address fax:** (315) 782-8699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 03/31/2020