National Provider Identifier

Mallory Eberly

Mallory Eberly is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rushville, NY and a listed phone number of (585) 554-4400.

NPI 1588217491Rushville, NYFamily Nurse Practitioner

Profile Overview

NPI
1588217491
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 19, 2019
Last Updated
July 22, 2023

Practice Location

  • 2 Rubin Dr
  • Rushville, NY 14544-9681

Phone: (585) 554-4400

Mailing Address

  • 135 Corporate Woods
  • Ste 200C
  • Rochester, NY 14623-1459

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Medical Physician Assistant (363AM0700X)

Endpoints

  • meberly133749@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1588217491
Entity Type
Individual
Last Name
Eberly
First Name
Mallory
Mailing Street Address
135 Corporate Woods
Mailing Address Line 2
Ste 200C
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-1459
Mailing Country
US
Mailing Phone
(585) 784-7848
Practice Street Address
2 Rubin Dr
Practice City
Rushville
Practice State
NY
Practice ZIP Code
14544-9681
Practice Country
US
Practice Phone
(585) 554-4400
Enumeration Date
July 19, 2019
Last Updated
July 22, 2023
Sex
Female
Sole Proprietor
No
Certification Date
May 31, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Medical Physician Assistant (363AM0700X)