Provider Demographics
NPI:1760730147
Name:LANTIER, MARSHA CAROL (MA)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:CAROL
Last Name:LANTIER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:CAROL
Other - Last Name:BLAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:121 HARVARD DR
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2022
Mailing Address - Country:US
Mailing Address - Phone:917-773-2860
Mailing Address - Fax:
Practice Address - Street 1:121 HARVARD DR
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2022
Practice Address - Country:US
Practice Address - Phone:917-773-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-16
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY546286111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist