Supley, Mallory

Supley, Mallory is an individual health care provider with primary practice located at 70 Edgewood Rd , Saranac Lake NY 12983-1537. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Supley, Mallory can be contacted via phone (518) 891-5535.

Contact Information

Primary practice address
70 Edgewood Rd Saranac Lake NY 12983-1537
Phone: (518) 891-5535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 303566 New York

Profile Details

NPI number 1144861089
LBN Legal business name Supley, Mallory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2019
Last updated Oct 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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