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Wallace Mallery
NPI 1396098703 · Licensed Practical Nurse · Troy, NY
Wallace Mallery is a Licensed Practical Nurse provider in Troy, NY (NPI 1396098703).
Provider details
- NPI number
- 1396098703
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 239016 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Conway Ct
Troy, NY 12180-2108
Phone: (518) 274-6525
Fax: (517) 274-6511
Street-level locationGet directions
Mailing address
169b Boght Rd
Watervliet, NY 12189-1306
Registry dates
- Enumerated
- 2012-10-23
- Last updated
- 2012-10-23
Frequently asked questions
- What is Wallace Mallery's NPI number?
- Wallace Mallery's National Provider Identifier (NPI) is 1396098703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Mallery's specialty?
- Wallace Mallery is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Wallace Mallery located?
- Wallace Mallery's practice location on file with NPPES is 1 Conway Ct, Troy, NY 12180-2108.
- What is Wallace Mallery's phone number?
- The practice phone number listed in the NPPES registry for Wallace Mallery is (518) 274-6525.
- Is Wallace Mallery's NPI active?
- Yes — Wallace Mallery's NPI (1396098703) is active in the NPPES registry as of the last update on 2012-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.