Edward Lathan (NPI# 1952483505, PAC ID# 5799689667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1952483505 |
| PAC ID by PECOS | 5799689667 |
| Professional Enrollment ID | I20031121000624 |
| Full Name | Edward Lathan |
| Organization Legal Name | EXCEL EMERGENCY PHYSICIAN SERVICES OF HUDSON VALLEY, PLLC |
| Address |
12 N 7th Ave Mount Vernon NY 10550-2026 |
| Phone Number | 8455653700 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0345248977 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330086 | MONTEFIORE MOUNT VERNON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12 N 7th Ave, Mount Vernon, NY 10550-2026 | 8455653700 | EXCEL EMERGENCY PHYSICIAN SERVICES OF HUDSON VALLEY, PLLC |
| Organization Legal Name | EXCEL EMERGENCY PHYSICIAN SERVICES OF HUDSON VALLEY, PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter J Kaniefski | Emergency Medicine | Excel Emergency Physician Services of Hudson Valley, Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Anthony Ruvo | Emergency Medicine | Excel Emergency Physician Services of Hudson Valley, Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Leyda Hu | Emergency Medicine | Excel Emergency Physician Services of Hudson Valley, Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Zakir Hussain | Family Medicine | Excel Emergency Physician Services of Hudson Valley, Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Rick Gustave | Emergency Medicine | Excel Emergency Physician Services of Hudson Valley, Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Street Address |
12 N 7TH AVE |
| City | MOUNT VERNON |
| State | NY |
| Zip | 10550-2026 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter J Kaniefski | Emergency Medicine | Excel Emergency Physician Services of Hudson Valley, Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Balasa L Prasad | Anesthesiology | Montefiore Mount Vernon Hospital | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Orhan Hakli | Nurse Practitioner | Abdullah Medical PC | 12 N 7th Ave, 5th Fl, Mount Vernon, NY 10550-2026 |
| Verta I Smith | Internal Medicine | Montefiore Mount Vernon Hospital | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Itha H Harewood | Internal Medicine | Montefiore Mount Vernon Hospital | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Dariush Alaie | Cardiovascular Disease (cardiology) | 12 N 7th Ave, Fl 6, Mount Vernon, NY 10550-2026 | |
| Daniela Levi | Critical Care (intensivists) | Montefiore Mount Vernon Hospital | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Robert E Dittmeier | Emergency Medicine | Hospitalist Medicine Physicians of New York Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Poovasit Klinoubol | Podiatry | 12 N 7th Ave, Rm 412, Mount Vernon, NY 10550-2026 | |
| Anthony Ruvo | Emergency Medicine | Excel Emergency Physician Services of Hudson Valley, Pllc | 12 N 7th Ave, Mount Vernon, NY 10550-2026 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony D Dimarino | Podiatry | 319 N 7th Ave, Mount Vernon, NY 10550-1121 | |
| Yasmin Zomah | Physician Assistant | Providence Medical Services Pllc | 203 Gramatan Ave, Suite A, Mount Vernon, NY 10550-1291 |
| Elizabeth Kuriakose | Physician Assistant | Providence Medical Services Pllc | 203 Gramatan Ave, Suite A, Mount Vernon, NY 10550-1291 |
| Nadine Alison Lawrence | Psychologist, Clinical | Supportive Care Psychology of Ny PC | 10 Claremont Ave, Mount Vernon, NY 10550-1609 |
| Dima Teitelman | Cardiovascular Disease (cardiology) | New York Cardiovascular Medicine Pllc | 10 Claremont Ave, Mount Vernon, NY 10550-1609 |
| Angela Lum | Nurse Practitioner | New York Cardiovascular Medicine Pllc | 10 Claremont Ave, Mount Vernon, NY 10550-1609 |
| Bijou M Dennis-nfor | Podiatry | 11 W Prospect Ave, Fl 3, Mount Vernon, NY 10550-2017 | |
| Camille Melika Banks Lee | Clinical Social Worker | The Guidance Center of Westchester, Inc | 9 W Prospect Ave, Mount Vernon, NY 10550-2018 |
| Caryl D Blackwood | Clinical Social Worker | The Guidance Center of Westchester, Inc | 9 W Prospect Ave, Mount Vernon, NY 10550-2018 |
| Delia M Farquharson | Clinical Social Worker | The Guidance Center of Westchester, Inc | 9 W Prospect Ave, Mount Vernon, NY 10550-2018 |
| Find all physicians in zip 10550 | |||
| City | MOUNT VERNON |
| Zip Code | 10550 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | MOUNT VERNON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Edward Lathan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.