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Mr. Evan Thomas Latourrette, DPM
Primary Podiatric Medicine Podiatrist in Ronkonkoma, New York
NPI 1396266516

Evan Thomas Latourrette is a Primary Podiatric Medicine Podiatrist based in North Babylon, NY and is specialized in Primary Podiatric Medicine. Evan Thomas Latourrette practices in Ronkonkoma, NY and has the professional credentials of DPM. The NPI Number for Evan Thomas Latourrette is 1396266516 and holds a License No. N007080-1 (New York).

The current practice location address for Evan Thomas Latourrette is 382 Rosevale Ave, Ronkonkoma, NY and can be reached out via phone at 631-667-0388 and via fax at 631-968-7705.

Location: 382 Rosevale Ave, Ronkonkoma, NY, 11703-3104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396266516
Provider Name
Evan Thomas Latourrette
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
382 Rosevale Ave, Ronkonkoma, NY, 11703-3104
Phone Number
631-667-0388
Fax Number
631-968-7705
Provider Enumeration Date
06/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B1386739514 05 NY
ETINAD01 05 NY
institution
Provider Business Practice Location Address Details
Address
382 Rosevale Ave
City
Ronkonkoma
State
New York
Zip
11779-3069
Phone Number
631-667-0388
Fax Number
631-968-7705
person
Provider Business Mailing Address Details
Address
382 Rosevale Ave
City
Ronkonkoma
State
New York
Zip
11779-3069
Phone Number
631-667-0388
Fax Number
631-968-7705
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
N007080-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
N007080-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
N007080 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
N007080-1 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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