Individual
DR. LATICIA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
990 SOUTH AVE, SUITE 207, ROCHESTER, NY 14620-2763
(585) 341-6775
Mailing address
1000 SOUTH AVE, BOX 108, ROCHESTER, NY 14620-2733
(585) 341-0209
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
233972
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02657183
—
NY
01
—
J400075581
MEDICARE PTAN
—
Enumeration date
08/11/2006
Last updated
07/05/2023
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