Most Relevant Information
Provider Data
| NPI Number: | 1003477803 |
| Provider Name: | LANTIE TOM |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2019 |
| Last Updated: | 06/24/2019 |
Provider Practice Location
380 LEXINGTON AVE
NEW YORK
NY
101680002
Practice Location Phone/Fax
| Phone: | 8455915044 |
| Fax: |
Provider Mailing Location
380 LEXINGTON AVE STE 1713
NEW YORK
NY
101680002
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |