William R Latreille Jr. (NPI# 1508885716, PAC ID# 4284696170) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508885716 |
| PAC ID by PECOS | 4284696170 |
| Professional Enrollment ID | I20041102001106 |
| Full Name | William R Latreille Jr. |
| Organization Legal Name | ALICE HYDE MEDICAL CENTER |
| Address |
183 Park St Suite 7 Malone NY 12953-1238 |
| Phone Number | 5184812287 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1971 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4082525837 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330084 | ALICE HYDE MEDICAL CENTER |
| 330223 | MASSENA MEMORIAL HOSPITAL |
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 412 State Route 37, Hogansburg, NY 13655-3109 | 5183583141 | ST REGIS MOHAWK TRIBE |
| 183 Park St, Suite 7, Malone, NY 12953-1238 | 5184812287 | ALICE HYDE MEDICAL CENTER |
| Organization Legal Name | ALICE HYDE MEDICAL CENTER |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Gagner | Certified Nurse Midwife (cnm) | Alice Hyde Medical Center | 16 3rd St A, Malone, NY 12953-1305 |
| Rodolfo L Dy | General Surgery | Alice Hyde Medical Center | 16 3rd St B, Malone, NY 12953-1305 |
| Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Sarah A Moore | Physician Assistant | Alice Hyde Medical Center | 24 4th St, Suite 4, Malone, NY 12953-1350 |
| Joseph E Robinson | Family Medicine | Alice Hyde Medical Center | 45 6th St, Malone, NY 12953-1246 |
| Kathleen Lauzon | Nurse Practitioner | Alice Hyde Medical Center | 577 County Route 1, Fort Covington, NY 12937-2805 |
| Anne E Mcilhenny | Registered Dietitian Or Nutrition Professional | Alice Hyde Medical Center | 20 4th St, Malone, NY 12953-1339 |
| Rowan Fish | Dermatology | Alice Hyde Medical Center | 969 State Rt, Moira, NY 12957 |
| Mia Ross | Nurse Practitioner | Alice Hyde Medical Center | 23 4th St, Suite 1, Malone, NY 12953-1331 |
| Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Street Address |
183 PARK ST SUITE 7 |
| City | MALONE |
| State | NY |
| Zip | 12953-1238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Derek J Reynolds | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Stephanie Leffler | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Robert Stout | Physician Assistant | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Tammy M Coffey | Physician Assistant | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Linda Hunter | Physician Assistant | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Claudia E Dumitrescu | Endocrinology | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Nikalesh Reddy | General Surgery | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Brianne L Jeror | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Brenda J Lepage | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel T Santy | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Tracy A Trudel | Chiropractic | Adirondack Region Chiropractic PC | 9 Finney Blvd, Malone, NY 12953-1038 |
| Gary L Hanley | Optometry | 22 Finney Blvd, Malone, NY 12953-1039 | |
| Noni H Irish | Clinical Social Worker | Citizen Advocates, Inc | 209 Park St, Malone, NY 12953-1228 |
| Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Marie W Haggarty | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Vladimir Medved | Pain Management | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| David J Griffin | Physician Assistant | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Wilhelmina M Sheridan | Nurse Practitioner | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Marina Medved | Osteopathic Manipulative Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Find all physicians in zip 12953 | |||
| City | MALONE |
| Zip Code | 12953 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MALONE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on William R Latreille Jr..
| 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.