Mr. Evan Thomas Latourrette is a Ronkonkoma, New York based male podiatrist with 7 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 2017. He is also affiliated with hospitals like Unity Hospital and Medina Memorial Hospital. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Mr. Evan Thomas Latourrette for Primary Podiatric Medicine is N007080-1 in New York. Mr. Evan Thomas Latourrette is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Evan Thomas Latourrette speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
7+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
2017
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
382 Rosevale Ave, Ronkonkoma, New York, 11779-3069
Phone:
631-667-0388
Fax:
631-968-7705
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2163761743
Enrollment ID:
I20210204002018
NPI Number:
1396266516
NPI Enumeration Date:
28 Jun, 2017
NPI Last Update On:
15 Jul, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Evan Thomas Latourrette are as mentioned below.
License Number
Specialization
State
Status
N007080-1
Primary Podiatric Medicine
New York
Primary
N007080-1
Podiatry
New York
Secondary
N007080
Podiatry
New York
Secondary
N007080-1
Podiatric Foot & Ankle Surgery
New York
Secondary
N007080-1
Podiatric Foot Surgery
New York
Secondary
Student in an Organized Health Care Education/Training Program
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Unity Hospital (330226)
Rochester, NY
Acute Care Hospital
Medina Memorial Hospital (331319)
Medina, NY
Critical Access Hospital
United Memorial Medical Center (330073)
Batavia, NY
Acute Care Hospital
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Evan Thomas Latourrette such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
B1386739514
Medicaid
New York
ETINAD01
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1231 Deer Park Ave, North Babylon, New York
Zip:
11703-3104
Phone Number:
631-667-0388
Fax Number:
631-968-7705
Patients can reach Mr. Evan Thomas Latourrette at 382 Rosevale Ave, Ronkonkoma, New York or can call to book an appointment on 631-667-0388. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.