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EMILY R. LANTZ, PSY.D, P.C.

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Company Details

Name: EMILY R. LANTZ, PSY.D, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Mar 2010 (15 years ago)
Entity Number: 3925045
ZIP code: 10591
County: Westchester
Place of Formation: New York
Address: 200 SOUTH BROADWAY, SUITE 201, TARRYTOWN, NY, United States, 10591
Principal Address: 200 S BROADWAY, STE 201, TARRYTOWN, NY, United States, 10591

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
EMILY R LANTZ Chief Executive Officer 200 S BROADWAY, STE 201, TARRYTOWN, NY, United States, 10591

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 200 SOUTH BROADWAY, SUITE 201, TARRYTOWN, NY, United States, 10591

National Provider Identifier

NPI Number:
1649595406

Authorized Person:

Name:
EMILY R LANTZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TA0700X - Adult Development & Aging Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

Fax:
9145020120

Filings

Filing Number Date Filed Type Effective Date
120501002530 2012-05-01 BIENNIAL STATEMENT 2012-03-01
100317000091 2010-03-17 CERTIFICATE OF INCORPORATION 2010-03-17

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State