Latassa, Sherry

Latassa, Sherry is an sole proprietor health care provider with primary practice located at 70 Dubois St , Newburgh NY 12550-4851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Latassa, Sherry can be contacted via phone (845) 561-4400.

Contact Information

Primary practice address
70 Dubois St Newburgh NY 12550-4851
Phone: (845) 561-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F336783-1 New York

Profile Details

NPI number 1275818338
LBN Legal business name Latassa, Sherry
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2011
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275818338 NPPES
New York MEDICAID 03480733

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