MEDICARE: JULIUS GENE SILVA LATORRE MD

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	2084N0400X	Neurology Physician	268741	NY
2	2084N0600X	Clinical Neurophysiology Physician	268741	NY
3	2084P0800X	Psychiatry Physician	26874101	NY
4	2084N0400X	Neurology Physician	26874101	NY
5	2084P0800X	Psychiatry Physician	79870	CT
6	2084V0102X	Vascular Neurology Physician	268741	NY
7	2084A2900X	Neurocritical Care Physician	268741	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427049030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIUS GENE SILVA LATORRE MD

Provider Business Mailing Address
First Line	:	90 PRESIDENTIAL PLZ
Second Line	:	4TH FLOOR
City	:	SYRACUSE
State	:	NY
Zip	:	13202-2240
Country	:	US
Telephone Number	:	315-464-4243
Fax Number	:	315-464-5350

Provider Business Practice Location Address
First Line	:	90 PRESIDENTIAL PLZ
Second Line	:	4TH FLOOR
City	:	SYRACUSE
State	:	NY
Zip	:	13202-2240
Country	:	US
Telephone Number	:	315-464-4243
Fax Number	:	315-464-5350

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	01/21/2026

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