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

Grace Latham

Individual provider Specialist · NPI 1114372885

Grace Latham is a Specialist in Rego Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone: (718) 830-9274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 097503-1 (NY)

Record details

NPI number1114372885
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2016
Last updated in NPPESApril 29, 2016

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