Individual
DR. JEFFREY JOHN LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
124 E 40TH ST, SUITE 504, NEW YORK, NY 10016-1723
(212) 867-9344
Mailing address
26 W END AVE, MADISON, NJ 07940-1318
(973) 845-9336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
MC05976
NJ
111N00000X
Chiropractor
Primary
X008920
NY
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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