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NPI Code Detail

MEDICARE: DR. MELINDA S LANTZ MD

MEDICARE: DR. MELINDA S LANTZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0802XAddiction Psychiatry Physician172561NY
22084P0800XPsychiatry Physician172561NY
32084P0805XGeriatric Psychiatry Physician172561NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295733715
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELINDA S LANTZ MD
Provider Business Mailing Address
First Line : 155 E 29TH ST
Second Line : SUITE 9A
City : NEW YORK
State : NY
Zip : 10016-8173
Country : US
Telephone Number : 212-420-2457
Fax Number : 212-779-9829
Provider Business Practice Location Address
First Line : 10 NATHAN D PERLMAN PL
Second Line : 6 KARPAS 40
City : NEW YORK
State : NY
Zip : 10003-3851
Country : US
Telephone Number : 212-420-2457
Fax Number : 212-844-7659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 06/24/2008

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