Individual
MS. CHERIDA LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, LM
Contact information
Practice address
999 SUMMER ST, STAMFORD, CT 06905-5546
(203) 353-9099
Mailing address
999 SUMMER ST, STAMFORD, CT 06905-5546
(203) 353-9099
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000707-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975277
—
NY
Enumeration date
10/27/2006
Last updated
07/11/2019
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