Individual
MALLORY BERTOLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7000
Mailing address
2870 STALEY RD, GRAND ISLAND, NY 14072-2035
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
764803
NY
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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