Individual
DR. MELISSA LATORRE DEBORDEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 342-3062
Mailing address
630 W 168TH ST, BOX 83, NEW YORK, NY 10032-3725
(212) 342-3062
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266090
NY
207RG0100X
Gastroenterology Physician
Primary
266090
NY
Other
Enumeration date
04/29/2010
Last updated
05/14/2026
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