Lantis, John
Lantis, John is an individual health care provider with primary practice located at 1090 Amsterdam Ave Ste 7A, New York NY 10025-1737. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Lantis, John can be contacted via phone (212) 523-4797.Contact Information
Primary practice address
1090 Amsterdam Ave Ste 7A
New York NY 10025-1737
Phone: (212) 523-4797
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2180831 | New York |
Profile Details
| NPI number | 1689663759 |
|---|---|
| LBN Legal business name | Lantis, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Oct 22nd, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689663759 | NPPES |
| New York | MEDICAID | 02091610 |
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