Individual
MS. MALLORY ELISE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4700
Mailing address
132 W 10TH ST, ELMIRA HEIGHTS, NY 14903-1617
(607) 481-3482
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
738099-01
NY
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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