Individual
ABU- MUTTALIB LATIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 ELMWOOD AVENUE BOX 655, ROCHESTER, NY 14642-0001
(585) 276-3000
Mailing address
601 ELMWOOD AVENUE BOX 655, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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