Individual
AIMEE MALLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 COURT ST, WHITE PLAINS, NY 10601-3310
(914) 946-2810
Mailing address
19 COURT ST, WHITE PLAINS, NY 10601-3310
(914) 946-2810
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
283109
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
283109
REGISTERED NURSE
NY
Enumeration date
07/22/2010
Last updated
07/22/2010
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