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Individual

DR. PIERRE H LATAILLADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
99 E STATE ST, MAB-GPCC, GLOVERSVILLE, NY 12078-1203
(518) 775-4333
(518) 773-5620
Mailing address
99 E STATE ST, PO BOX 1250, GLOVERSVILLE, NY 12078-1203
(518) 775-4333
(518) 773-5620

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
152599
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00933459
NY
Enumeration date
10/29/2006
Last updated
01/21/2015
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