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
Fax: (716) 743-5455
Website:

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
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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