National Provider Identifier
Mallory Bertolone, RN
Mallory Bertolone, RN is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Registered Nurse in West Seneca, NY and a listed phone number of (716) 677-7000.
Profile Overview
- NPI
- 1114789427
- Provider Type
- Individual
- Primary Specialty
- Psychiatric/Mental Health Registered Nurse
- Enumeration Date
- January 24, 2024
- Last Updated
- January 24, 2024
Practice Location
- 1010 E And West RD
- West Seneca, NY 14224-3602
Phone: (716) 677-7000
Mailing Address
- 2870 Staley RD
- Grand Island, NY 14072-2035
Specialties
- Psychiatric/Mental Health Registered Nurse (163WP0808X)
Full Record
- NPI
- 1114789427
- Entity Type
- Individual
- Last Name
- Bertolone
- First Name
- Mallory
- Credential
- RN
- Mailing Street Address
- 2870 Staley RD
- Mailing City
- Grand Island
- Mailing State
- NY
- Mailing ZIP Code
- 14072-2035
- Mailing Country
- US
- Practice Street Address
- 1010 E And West RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3602
- Practice Country
- US
- Practice Phone
- (716) 677-7000
- Enumeration Date
- January 24, 2024
- Last Updated
- January 24, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 23, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatric/Mental Health Registered Nurse (163WP0808X)