Search › New York › 213EP1101X
Evan Latourrette, DPM
NPI 1396266516 · on the registry since 2017 · sole proprietor
Practice
- Address
- 382 Rosevale Ave
Ronkonkoma, NY 11779 - Phone
- (631) 667-0388
- Fax
- (631) 968-7705
- Organisation at this address
- Ronkonkoma Medical Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 2 State St, Batavia, NY
Registry record
- Primary taxonomy
- 213EP1101X
213EP1101X
- Also registered as
- 213E00000X
213E00000X
213ES0103X
213ES0131X
390200000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York