Mallon, Stella

Mallon, Stella is an sole proprietor health care provider with primary practice located at 7 Lake St , Tupper Lake NY 12986-1603. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mallon, Stella can be contacted via phone (518) 359-2866.

Contact Information

Primary practice address
7 Lake St Tupper Lake NY 12986-1603
Phone: (518) 359-2866
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 346427 New York

Profile Details

NPI number 1346454543
LBN Legal business name Mallon, Stella
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Jul 9th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346454543 NPPES
New York MEDICAID 01372921

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