Organization
NORTH COUNTRY NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL LATIF MD (PRESIDENT)
(315) 782-9003
Entity
Organization
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
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
03/31/2020
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