Individual
SUNDUS LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1340 WASHINGTON ST, WATERTOWN, NY 13601-4541
(315) 782-9003
(315) 782-9010
Mailing address
PO BOX 91, WATERTOWN, NY 13601-0091
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
266120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03687354
—
NY
Enumeration date
09/12/2008
Last updated
03/31/2020
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