PETER MICHAEL TALTY

LOCKPORT, NY
NPI1861701567
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: NY  000059)
Enumeration Date2010-09-29
Last Update Date2010-09-29
Business Address
Mr. PETER MICHAEL TALTY OTR
6000 BROCKTON DR
LOCKPORT, NY 14094-9273
Phone number: 716-433-4718
Mailing Address
Mr. PETER MICHAEL TALTY OTR
10 BLUEBIRD LN
AMHERST, NY 14228-1024
Phone number: 716-688-0022
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