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
Mailing address169b Boght Rd, Watervliet, NY 12189-1306

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