Individual
JAMES LYLE LATIMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 CHURCH ST, MADRID, NY 13660-0189
(315) 322-8947
(315) 327-4048
Mailing address
16 CHURCH ST, PO BOX 189, MADRID, NY 13660-0189
(315) 327-8947
(315) 322-4048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002628
BCBS
—
05
—
00715086
—
NY
01
—
089001
MVP
—
Enumeration date
09/02/2005
Last updated
07/08/2007
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