National Provider Identifier

Baley Mallon

Baley Mallon is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Attica, NY and a listed phone number of (585) 813-2980.

NPI 1205312758Attica, NYLicensed Practical Nurse

Profile Overview

NPI
1205312758
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 18, 2018
Last Updated
July 18, 2018

Practice Location

  • 6 Main St Apt B
  • Attica, NY 14011-1064

Phone: (585) 813-2980

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1205312758
Entity Type
Individual
Last Name
Mallon
First Name
Baley
Mailing Street Address
6 Main St Apt B
Mailing City
Attica
Mailing State
NY
Mailing ZIP Code
14011-1064
Mailing Country
US
Mailing Phone
(585) 813-2980
Practice Street Address
6 Main St Apt B
Practice City
Attica
Practice State
NY
Practice ZIP Code
14011-1064
Practice Country
US
Practice Phone
(585) 813-2980
Enumeration Date
July 18, 2018
Last Updated
July 18, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)