Alicia J Latham (NPI# 1023456845, PAC ID# 8325261779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL GENETICS AND GENOMICS.
| Nation Provider ID (NPI) | 1023456845 |
| PAC ID by PECOS | 8325261779 |
| Professional Enrollment ID | I20180831002031 |
| Full Name | Alicia J Latham |
| Organization Legal Name | MEMORIAL CLINICAL GENETICS GROUP |
| Address |
1275 York Ave New York NY 10065-6007 |
| Phone Number | 6468884050 |
| Gender | F |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | MEDICAL GENETICS AND GENOMICS |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6103837075 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330154 | MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES |
| Address | Phone | Organization |
|---|---|---|
| 1275 York Ave, New York, NY 10065-6007 | 6468884050 | MEMORIAL CLINICAL GENETICS GROUP |
| 1275 York Ave, New York, NY 10065-6094 | 2126392000 | MEMORIAL MEDICAL CONSULTATION GROUP |
| Organization Legal Name | MEMORIAL CLINICAL GENETICS GROUP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth Offit | Medical Oncology | Memorial Clinical Genetics Group | 1275 York Ave, New York, NY 10065-6007 |
| Street Address |
1275 YORK AVE |
| City | NEW YORK |
| State | NY |
| Zip | 10065-6007 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesuel Padro-guzman | Physical Medicine and Rehabilitation | Memorial Neurology Group | 1275 York Ave, New York, NY 10065-6007 |
| Zana Correa | Nurse Practitioner | Memorial Medical Consultation Group | 1275 York Ave, New York, NY 10065-6094 |
| Nicole N Reynolds | Nurse Practitioner | Mskcc Radiology Group | 1275 York Ave, New York, NY 10065-6007 |
| Rachel T Freeman | Physician Assistant | Mskcc Surgery Group | 1275 York Ave, New York, NY 10065-6094 |
| Michael A Marchetti | Dermatology | Memorial Dermatology Group | 1275 York Ave, New York, NY 10021-6007 |
| Alison G Massey | Nurse Practitioner | Memorial Solid Tumor Group | 1275 York Ave, New York, NY 10065-6007 |
| Amy P Vatanapradit | Nurse Practitioner | Mskcc Radiology Group | 1275 York Ave, New York, NY 10065-6007 |
| Michael Scordo | Hematology/oncology | Mskcc Clinical Practice Plan | 1275 York Ave, New York, NY 10065-6007 |
| Amparo G Camacho | Nurse Practitioner | Mskcc Surgery Group | 1275 York Ave, New York, NY 10065-6094 |
| Vicky Chiang | Internal Medicine | Memorial Medical Consultation Group | 1275 York Ave, New York, NY 10065-6094 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harvey H Jay | Dermatology | 45 E 62 St, New York, NY 10065 | |
| Elliott J Wagner | Diagnostic Radiology | Kan Di Ki LLC | 200 E 66th St, Apt C904, New York, NY 10065-0163 |
| Gregory S Timm | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 200 E 66th St, Apt C904, New York, NY 10065-0163 |
| Vincent W Ng | Internal Medicine | Weill Medical College of Cornell | 1300 York Ave, New York, NY 10065-4805 |
| Jacqueline Topol | Registered Dietitian Or Nutrition Professional | Weill Medical College of Cornell | 1300 York Ave, New York, NY 10065-4805 |
| Mary E Charlson | Internal Medicine | Weill Medical College of Cornell | 1300 York Ave, New York, NY 10065-4805 |
| Pamela Charney | Internal Medicine | Weill Medical College of Cornell | 1300 York Ave, New York, NY 10065-4805 |
| Priscilla Nelson | Anesthesiology | Weill Medical College of Cornell | 525 E 68th St, Suite 585, New York, NY 10065-4870 |
| Edyta C Pirog | Pathology | Weill Medical College of Cornell | 575 E 68th St, New York, NY 10065-4870 |
| Pamela J Tieu | Internal Medicine | Weill Medical College of Cornell | 525 E 68th St, New York, NY 10065-4870 |
| Find all physicians in zip 10065 | |||
| City | NEW YORK |
| Zip Code | 10065 |
| Specialty | MEDICAL GENETICS AND GENOMICS |
| City + Specialty | NEW YORK + MEDICAL GENETICS AND GENOMICS |
Please comment or provide details below to improve the information on Alicia J Latham.
| 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.