Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Linda Loretta Lally

Individual provider General Practice Physician · NPI 1184184004

Linda Loretta Lally is a General Practice Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

69 Stack Dr
Staten Island, NY 10312-1662
Phone: (347) 598-6171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 370379 (NY)

Record details

NPI number1184184004
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2019
Last updated in NPPESMarch 25, 2019

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