Individual
AMBRIA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
358 SAINT MARKS PL, STATEN ISLAND, NY 10301-2417
(718) 727-3303
Mailing address
358 SAINT MARKS PL, STATEN ISLAND, NY 10301-2417
(718) 727-3303
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
07/21/2022
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