Individual
BRIAN MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 INTREPID LANE, SYRACUSE, NY 13205
(315) 567-1996
Mailing address
8078 MILLS RD, PORT BYRON, NY 13140-9745
(315) 567-1996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1003567
NY
Other
Enumeration date
09/25/2014
Last updated
09/30/2014
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