Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Latham, MD

Individual provider Clinical Genetics (M.D.) Physician · NPI 1023456845

Alicia Latham, MD is a Medical Genetics and Genomics in New York, New York. Qualified in 2013, 13 years ago. Practices with Memorial Clinical Genetics Group, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave
New York, NY 10065
Phone: (646) 888-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Academy Ave, Greenwood, SC 29646-3869 — (864) 725-4869

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 293665 (NY)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence 293665 (NY)

Record details

NPI number1023456845
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 14, 2013
Last updated in NPPESOctober 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMEDICAL GENETICS AND GENOMICS
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Memorial Clinical Genetics Group — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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