Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 017204 | NY |
Y | 103T00000X | Psychologist | 017204 | NY |
NPI | 1013115963 |
---|---|
Provider Name | Dr. Emily R. Lantz |
First Address | Tarrytown, NY 10591-4500 |
Second Address | Tarrytown, NY 10591-4500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 05/04/2010 |