MEDICARE: DR. FRANK J LATTARULO DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N003577	NY

General Provider Information

NPI Number	:	1184697468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK J LATTARULO DPM

Provider Business Mailing Address
First Line	:	160 SOUTH CENTRAL AVENUE
Second Line	:
City	:	ELMSFORD
State	:	NY
Zip	:	10523
Country	:	US
Telephone Number	:	914-345-3400
Fax Number	:	914-345-3481

Provider Business Practice Location Address
First Line	:	160 SOUTH CENTRAL AVENUE
Second Line	:
City	:	ELMSFORD
State	:	NY
Zip	:	10523
Country	:	US
Telephone Number	:	914-345-3400
Fax Number	:	914-345-3481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/08/2007

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