MEDICARE: DR. ROBERT ADAM LATKANY M.D.

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	207W00000X	Ophthalmology Physician	211508-1	NY

General Provider Information

NPI Number	:	1487681482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ADAM LATKANY M.D.

Provider Business Mailing Address
First Line	:	150 E 32ND ST
Second Line	:	102
City	:	NEW YORK
State	:	NY
Zip	:	10016-6058
Country	:	US
Telephone Number	:	212-689-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 E 32ND ST
Second Line	:	102
City	:	NEW YORK
State	:	NY
Zip	:	10016-6058
Country	:	US
Telephone Number	:	212-689-2020
Fax Number	:

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	05/24/2011

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