Provider Demographics
NPI:1770814386
Name:MCNALLY, NORA ELIZABETH
Entity Type:Individual
Prefix:MS
First Name:NORA
Middle Name:ELIZABETH
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 TREMONT AVENUE
Mailing Address - Street 2:UPPER
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-2365
Mailing Address - Country:US
Mailing Address - Phone:716-862-0805
Mailing Address - Fax:716-834-4557
Practice Address - Street 1:100 TREMONT AVE
Practice Address - Street 2:UPPER
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-2365
Practice Address - Country:US
Practice Address - Phone:716-833-3622
Practice Address - Fax:716-834-4557
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health