Individual
DR. JONATHAN MARC LATZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, DEPARTMENT OF RADIOLOGY, BRONX, NY 10467-2401
(718) 920-5506
Mailing address
1976 MARCUS AVENUE, SUITE C101, NEW HYDE PARK, NY 11042
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
288219-1
NY
Other
Enumeration date
06/23/2011
Last updated
05/23/2018
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