Individual
MS. WENDY L LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
2150 BLEECKER ST, UTICA, NY 13501-1738
(315) 798-4800
Mailing address
41 GROVE ST, ILION, NY 13357-2131
(315) 717-9600
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
007610
NY
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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