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

Wallace Mallery

Individual provider Licensed Practical Nurse · NPI 1396098703

Wallace Mallery is a Licensed Practical Nurse in Troy, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012

Practice location Address checks out

1 Conway Ct
Troy, NY 12180-2108
Phone: (518) 274-6525
Fax: (517) 274-6511
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 239016 (NY)

Record details

NPI number1396098703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 23, 2012
Last updated in NPPESOctober 23, 2012

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