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Contact Information

ALICIA LATHAM, MD
1275 YORK AVE
NEW YORK, NY10065
 Phone: 646-888-4050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Clinical Genetics (M.D.)

207SG0201X
Indicates primary specialty

NPI Profile & details for ALICIA LATHAM · (Female)

NPI Number 1023456845
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2013
Last updated 10/23/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 293665
Hospital affiliation(s)
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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