1073508933 NPI number — MR. SEBASTIAN LATTUGA MD FACOS

Table of content: MR. SEBASTIAN LATTUGA MD FACOS (NPI 1073508933)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073508933 NPI number — MR. SEBASTIAN LATTUGA MD FACOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LATTUGA
Provider First Name:
SEBASTIAN
Provider Middle Name:
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MD FACOS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073508933
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 MARCUS AVE
Provider Second Line Business Mailing Address:
STE 170 W NEW YORK SPECIALISTS LLP
Provider Business Mailing Address City Name:
LAKE SUCCESS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11042-1011
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-355-0111
Provider Business Mailing Address Fax Number:
516-355-5457

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 MARCUS AVE
Provider Second Line Business Practice Location Address:
STE 170 W NEW YORK SPECIALISTS LLP
Provider Business Practice Location Address City Name:
LAKE SUCCESS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11042-1011
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-355-0111
Provider Business Practice Location Address Fax Number:
516-355-5457
Provider Enumeration Date:
09/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207XS0117X , with the licence number:  1870781 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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