Individual
MR. AMIR LATIFI-M-TEHRANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
T- 16-020 HEALTH SCIENCES CENTER, STONY BROOK, NY 11794-0001
(361) 444-3490
Mailing address
79 SPRING POND LN, SOUTHAMPTON, NY 11968-3100
(646) 258-5092
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
239087
NY
Other
Enumeration date
10/12/2007
Last updated
05/29/2008
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