Amber L Latray, LPN is a
Licensed Vocational Nurse based in Malone, New York. Amber L Latray is licensed to practice in New York (license number 335599) and her current practice location is
31 Sixth Street, Malone, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 483-8980.
NPI number for Amber L Latray is 1750032686 and her current mailing address is 31 6th St, Malone, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750032686.
Provider's Profile
| Full Name | Amber L Latray |
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| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 31 Sixth Street, Malone, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750032686
- Provider Enumeration Date: 01/12/2022
- Last Update Date: 01/12/2022
Medical Identifiers
Medical identifiers for Amber L Latray such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750032686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 335599 (New York) | Primary |
| 164W00000X | Licensed Practical Nurse | 335599 (New York) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber L Latray is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amber L Latray, LPN
31 6th St,
Malone, NY 12953-1246
Ph: () - | Amber L Latray, LPN
31 Sixth Street,
Malone, NY 12953
Ph: (518) 483-8980 |
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