Individual
MALLORY SCOPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 758-1010
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
603608
NY
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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