Individual
MS. AMARILIS LANTIGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 SEWARD DR, DIX HILLS, NY 11746-7908
(631) 742-5996
Mailing address
34 SEWARD DR, DIX HILLS, NY 11746-7908
(631) 742-5996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
763607971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
763607971
SPECIAL EDUCATION TEACHER
NY
Enumeration date
06/25/2012
Last updated
06/25/2012
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