Individual
AMANDA LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 GENESEE ST, UTICA, NY 13501-3401
(315) 272-1676
Mailing address
245 GENESEE ST, UTICA, NY 13501-3401
(315) 272-1676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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