Annmarie M Lally in Tonawanda - Family

Annmarie M Lally - NPI 1538205968

Annmarie M Lally is a Family in Tonawanda, New York. Annmarie M Lally practices all healthcare services and medical treatments related to Family. The NPI Number for Annmarie M Lally is 1538205968. The last update date is 2008-02-28.

Annmarie M Lally's current location address is 533 Niagara St, Tonawanda, New York. You can contact this provider via phone number 7167435450 and fax number 7167435455. The mailing address for Annmarie M Lally is 533 Niagara St, Tonawanda, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Annmarie M Lally
Address 533 Niagara St, Tonawanda, New York
Phone Number 7167435450
Fax Number 7167435455
Sole Proprietor Y
Credentials F-NP

NPI Number Detail

NPI Number 1538205968
Provider Enumeration Date 2007-01-30
Last Updated Date 2008-02-28

Provider Mailing Address Detail

Address 533 Niagara St
City Tonawanda
State New York (NY)
Post Code 1415018100
Phone Number 7167435450
Fax Number 7167435455

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No F332056-1
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
560375001 NY BLUE CROSS
9512250 NY INDEPENDENT HEALTH
B4744 NY RAILROAD MEDICARE

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FAQs about Annmarie M Lally

What is the unique identifier code issued to Annmarie M Lally by the Centers for Medicare & Medicaid Services (CMS)?

The Annmarie M Lally has been assigned the NPI (National Provider Identifier) 1538205968. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Annmarie M Lally is located?

The Annmarie M Lally is situated at the following address: 533 Niagara St, Tonawanda, NY, 1415018100.

What is Annmarie M Lally's specialized field of practice, and what is the corresponding taxonomy classification code?

The Annmarie M Lally's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538205968 to Annmarie M Lally?

The Centers for Medicare & Medicaid Services originally issued the 1538205968 to Annmarie M Lally on 2007-01-30.

As of what date were the details related to Annmarie M Lally most recently updated or revised?

The information pertaining to Annmarie M Lally, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-28.

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