Individual
CHRISTIAN DAVID LATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2741 TRANSIT RD, ELMA, NY 14059-9634
(716) 677-6060
(716) 677-6078
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 630-1054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201701
NY
Other
Enumeration date
07/18/2005
Last updated
11/10/2010
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