Individual
MRS. JESSICA LATTMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 EAST 61ST STREET, NEW YORK, NY 11021
(212) 832-5456
(212) 421-0176
Mailing address
115 E 61ST ST, NEW YORK, NY 11021
(212) 832-5456
(212) 421-0176
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NY201144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005065597
AETNA PPO EPO MNGEDCHOICE
—
01
—
010201144NY01
HORIZON HEALTHCARE OF NY
—
05
—
02088122
—
NY
01
—
0499796
GHI
—
01
—
0801229
MEDICARE COMPLETE
—
01
—
201144
HIP EPO PPO
—
01
—
2C9341
HEALTHNET
—
01
—
7343028002
CIGNA PPO GPPO HMO
—
01
—
92T912
BC HMO EPO POS CHILD HLTH
—
01
—
P1041236
OXFORD
—
01
—
P51053942
MULTIPLAN
—
Enumeration date
12/01/2005
Last updated
07/08/2007
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