Individual
KHIN M LATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 GLOVER DR, YAPHANK, NY 11980-1204
(631) 852-4400
(631) 852-4414
Mailing address
11 SHIELDS CT, BROOKHAVEN, NY 11719-9309
(631) 286-6124
(631) 286-6124
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
102875-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623872
—
NY
Enumeration date
04/23/2007
Last updated
07/08/2007
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