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Contact Information

WILLIAM R LATREILLE JR, MD
412 STATE ROUTE 37
HOGANSBURG, NY13655
 Phone: 518-358-3141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM R LATREILLE JR · (Male)

NPI # 1508885716
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 03/15/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 142278
Hospital affiliation(s)
  • ALICE HYDE MEDICAL CENTER - (Acute Care)
    133 PARK STREET
    MALONE, NY 12953
  • MASSENA MEMORIAL HOSPITAL - (Acute Care)
    1 HOSPITAL DRIVE
    MASSENA, NY 13662
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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