National Provider Identifier
Matthew Mallow
Matthew Mallow is listed in the NPPES registry with a primary specialty of Registered Nurse in Webster, NY and a listed phone number of (585) 319-1990.
Profile Overview
- NPI
- 1871006213
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- November 07, 2017
- Last Updated
- November 07, 2017
Practice Location
- 1001 Summitville Dr
- Webster, NY 14580-4137
Phone: (585) 319-1990
Mailing Address
- 1001 Summitville Drive
- Webster, NY 14580
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1871006213
- Entity Type
- Individual
- Last Name
- Mallow
- First Name
- Matthew
- Mailing Street Address
- 1001 Summitville Drive
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580
- Mailing Country
- US
- Mailing Phone
- (585) 319-1990
- Practice Street Address
- 1001 Summitville Dr
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-4137
- Practice Country
- US
- Practice Phone
- (585) 319-1990
- Enumeration Date
- November 07, 2017
- Last Updated
- November 07, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)