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

Mallory Tiano

Individual provider Physician Assistant · NPI 1073282802

Mallory Tiano is a Physician Assistant in Saugerties, New York. Qualified in 2021, 5 years ago. Practices with Albany Medical College, a 1,057-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

2976 Route 9W
Saugerties, NY 12477-5234
Phone: (518) 264-9000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073282802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2021
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address2976 Route 9w, Saugerties, NY 12477-5234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Albany Medical College — 1057 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare