Provider Demographics
NPI:1598955395
Name:LATMAN, RODION (DC)
Entity Type:Individual
Prefix:DR
First Name:RODION
Middle Name:
Last Name:LATMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 COYLE ST
Mailing Address - Street 2:APT 222
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1738
Mailing Address - Country:US
Mailing Address - Phone:718-788-7007
Mailing Address - Fax:
Practice Address - Street 1:1723 ELM AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5306
Practice Address - Country:US
Practice Address - Phone:718-253-3322
Practice Address - Fax:718-252-9418
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011038111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor