Individual
MICHELLE A. LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.P.
Contact information
Practice address
1545 INWOOD AVE, BRONX, NY 10452-2001
(718) 299-5500
(718) 299-7679
Mailing address
73 COOPER ST, #3B, NEW YORK, NY 10034-3070
(646) 873-0621
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400934
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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