Individual
JOANNA MCNAMARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 TRIANGLE RD, LIBERTY, NY 12754-3329
(845) 423-8162
Mailing address
39 TRIANGLE RD, LIBERTY, NY 12754-3329
(845) 423-8162
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-1446331
DEPARTMENT OF TREASURY IRS
NY
Enumeration date
08/02/2022
Last updated
08/19/2022
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