Healthcare Provider Details

I. General information

NPI: 1407770563
Provider Name (Legal Business Name): LATIKA HERRING
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 MOUNT VERNON RD
CHEEKTOWAGA NY
14215-1912
US

IV. Provider business mailing address

660 MOUNT VERNON RD
CHEEKTOWAGA NY
14215-1912
US

V. Phone/Fax

Practice location:
  • Phone: 716-428-0185
  • Fax: 716-929-6875
Mailing address:
  • Phone: 716-428-0185
  • Fax: 716-929-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: