Basic Information
| Provider Information | |||||||||
| NPI: | 1770814386 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCNALLY | ||||||||
| FirstName: | NORA | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 TREMONT AVENUE | ||||||||
| Address2: | UPPER | ||||||||
| City: | KENMORE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142172365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168620805 | ||||||||
| FaxNumber: | 7168344557 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 TREMONT AVE | ||||||||
| Address2: | UPPER | ||||||||
| City: | KENMORE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142172365 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168333622 | ||||||||
| FaxNumber: | 7168344557 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/21/2010 | ||||||||
| LastUpdateDate: | 01/21/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.