Individual provider · Type 1 NPI
Evan Thomas Latourrette, DPM
Primary Podiatric Medicine Podiatrist · Ronkonkoma, NY
NPI number
1396266516
Active
Practice location
382 Rosevale Ave
Ronkonkoma, NY 11779-3069
Fax (631) 968-7705
Mailing address
1231 Deer Park Ave
North Babylon, NY 11703-3104
Other practice locations
- 2 State St, Batavia, NY 14020-2132 · (585) 343-8150
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | N007080-1 (NY) |
| Podiatrist | 213E00000X | N007080 (NY) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N007080-1 (NY) |
| Foot Surgery Podiatrist | 213ES0131X | N007080-1 (NY) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | N007080-1 (NY) |
Primary Podiatric Medicine Podiatrist: Definition to come...
3 other providers at this address
About NPI 1396266516
Evan Thomas Latourrette, DPM's National Provider Identifier is 1396266516, issued on Jun 28, 2017. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Ronkonkoma, NY. The record was last updated on Jul 15, 2022.