Individual
DUSTIN LATIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020817
NY
363A00000X
Physician Assistant
MA0504084
PA
Other
Enumeration date
09/16/2009
Last updated
03/27/2018
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