Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 184388 | NY |
Y | 111NI0900X | Internist | 184388 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 184388 | NY |
N | 207RH0003X | Hematology & Oncology | 184388 | NY |
NPI | 1134107600 |
---|---|
Provider Name | Dr. Myrna A Sanchez-Latreille |
First Address | Malone, NY 12953 |
Second Address | Malone, NY 12953-1238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 25/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01421618 | (05) | NY |
B70244 | ALICE HYDE MEDICAL CENTER (01) | NY |
F17146 | (02) | NY |