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WALLACE MALLERY
NPI 1396098703
Licensed Practical Nurse in Troy, NY

Active since October 23, 2012
1 CONWAY CT, TROY, NY 12180(518) 274-6525(517) 274-6511 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wallace Mallery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE MALLERY (NPI 1396098703) is an individual licensed practical nurse in Troy, New York, licensed in New York (239016) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1396098703
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameWALLACE MALLERY
Location Address1 CONWAY CTTroy, NY 12180-2108
Mailing Address169b Boght RdWatervliet, NY 12189-1306 · (518) 274-6525 · Fax (518) 274-6511
Phone(518) 274-6525
Fax(517) 274-6511
Sole ProprietorNo
Enumeration DateOctober 23, 2012
✔ NPI 1396098703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 239016
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1 CONWAY CT, Troy, NY 12180
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA LAPLANTE
Licensed Practical Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525
CARLEY R MCLEAN RN
Registered Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525
NICOLA COTTONE
Licensed Practical Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525
SHELLY N SHERRICK
Licensed Practical Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525
SHARI FELDMAN
Licensed Practical Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525
TOSHIIA MURRAY
Licensed Practical Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525
ALAIN ATECHI
Licensed Practical Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525
CARLY M PREMO
Registered Nurse
1 CONWAY CT
TROY, NY 12180
Rensselaer County (518) 274-6525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Mallery's NPI number?

The NPI number for Wallace Mallery is 1396098703. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Where is Wallace Mallery located?

Wallace Mallery practices at 1 Conway Ct, Troy, NY 12180. The listed phone number is (518) 274-6525.

What is Wallace Mallery's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Wallace Mallery was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.