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

Mr. Evan Thomas Latourrette, DPM

Individual provider Podiatrist · NPI 1396266516

Mr. Evan Thomas Latourrette, DPM is a Podiatry in Ronkonkoma, New York. Graduated from Kent State University College of Podiatric Medicine in 2017, 9 years ago. Practices with Long Island Comprehensive Medical Care PLLC, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Trained at
Kent State University College of Podiatric Medicine
Licensed in
NY
In the registry since
2017
Specialties on file
6
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

382 Rosevale Ave
Ronkonkoma, NY 11779-3069
Phone: (631) 667-0388
Fax: (631) 968-7705
Show map & directions

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

Additional practice locations (1)

  • 2 State St, Batavia, NY 14020-2132 — (585) 343-8150

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence N007080-1 (NY)
Podiatrist Taxonomy 213E00000X · Licence N007080-1 (NY)
Podiatrist Taxonomy 213E00000X · Licence N007080 (NY)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence N007080-1 (NY)
Foot Surgery Podiatrist Taxonomy 213ES0131X · Licence N007080-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1396266516
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 28, 2017
Last updated in NPPESJuly 15, 2022
Certification dateJuly 15, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Long Island Comprehensive Medical Care Pllc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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