Individual
DEBRA M LATZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3906 TOWNEHOUSE DR, CORAM, NY 11727-2812
(516) 581-8533
Mailing address
3906 TOWNEHOUSE DR, CORAM, NY 11727-2812
(516) 581-8533
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
606902-1
NY
Other
Enumeration date
11/15/2012
Last updated
10/03/2019
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