Individual
KERRI LATCHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
175 EAST MAIN STREET, SUITE 200, HUNTINGTON, NY 11743
(631) 549-5700
(631) 549-1991
Mailing address
175 EAST MAIN STREET, SUITE 200, HUNTINGTON, NY 11743
(631) 549-5700
(631) 549-1991
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307853
NY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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