WALLACE MALLERY

Licensed Practical Nurse

Active Individual
NPI: 1396098703

Practice Address

1 CONWAY CT
Troy, NY 12180

Phone: (518) 274-6525

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 239016 (NY)

Frequently Asked Questions

NPI 1396098703 is the National Provider Identifier for WALLACE MALLERY, a Licensed Practical Nurse provider located in Troy, NY. This NPI was enumerated on October 23, 2012.
WALLACE MALLERY practices at 1 CONWAY CT, Troy, NY 12180.

Quick Facts

NPI
1396098703
Type
Individual
Enumerated
Oct 23, 2012
Last Updated
Oct 23, 2012

Nearby Providers