Lally, Annmarie M
Lally, Annmarie M is an sole proprietor health care provider with primary practice located at 533 Niagara St , Tonawanda NY 14150-1810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lally, Annmarie M can be contacted via phone (716) 743-5450.Contact Information
Primary practice address
533 Niagara St
Tonawanda NY 14150-1810
Phone: (716) 743-5450
Fax: (716) 743-5455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F332056-1 | New York |
Profile Details
| NPI number | 1538205968 |
|---|---|
| LBN Legal business name | Lally, Annmarie M |
| Credentials | F-NP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Feb 28th, 2008 - about 18 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 | 1538205968 | NPPES |
| New York | Other | 000560375001 | BLUE CROSS |
| New York | Other | 9512250 | BLUE CROSS |
| New York | Other | B4744 | BLUE CROSS |
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