Individual provider · Type 1 NPI

Miro Lati, DO

Family Medicine Physician · Staten Island, NY

NPI number 1154776367 Active

Practice location

1432 Hylan Blvd
Staten Island, NY 10305-1923

Fax (718) 238-6194

Mailing address

6903 4th Ave
Brooklyn, NY 11209-1509

Other practice locations

  • 6903 4th Ave, Brooklyn, NY 11209-1509 · (718) 238-6161

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X284309 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9 other providers at this address

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About NPI 1154776367

Miro Lati, DO's National Provider Identifier is 1154776367, issued on Apr 26, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 28, 2025.