Individual
LANTIE TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 LEXINGTON AVE, NEW YORK, NY 10168-0002
(845) 591-5044
Mailing address
380 LEXINGTON AVE STE 1713, NEW YORK, NY 10168-0002
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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