Individual
CHARLES JOSEPH LATTARULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
160 BROADWAY, SUITE 900 EAST, NEW YORK, NY 10038
(212) 726-1585
(914) 437-7913
Mailing address
160 BROADWAY, SUITE 900 EAST, NEW YORK, NY 10038
(212) 726-1585
(914) 437-7913
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016566
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
04/09/2007
Last updated
10/16/2017
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