Individual
MRS. BARBARA DIANE MALLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3409 GENESEE ST, CHEEKTOWAGA, NY 14225-5051
(716) 855-2273
Mailing address
6838 MINUTEMAN TRL, DERBY, NY 14047-9576
(716) 947-4403
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
496257-1
NY
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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