Individual provider · Type 1 NPI

Grace Latham

Specialist · Rego Park, NY

NPI number 1114372885 Active

Practice location

9777 Queens Blvd
Rego Park, NY 11374-3335

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X097503-1 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114372885

Grace Latham's National Provider Identifier is 1114372885, issued on Apr 29, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rego Park, NY. The record was last updated on Apr 29, 2016.