MARIA THERESE MALLERY (NPI# 1154788636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154788636 |
| Entity Type | Individual |
| Full Name | MARIA THERESE MALLERY |
| Credential | FNP |
| Practice Address |
415 Hooper Rd Endwell NY 13760-3646 |
| Practice Telephone | 6077543863 |
| Mailing Telephone | 6077543863 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F339751-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
415 HOOPER RD |
| City | ENDWELL |
| State | NY |
| Zip Code | 13760-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558394684 | Ann Marie Lamarca Major | Nurse Practitioner | 415 Hooper Rd, Endwell Family Physicians LLP, Endwell, NY 13760-3698 | 2006-07-09 |
| 1932625142 | Betsy Marie Perry | Family Medicine | 415 Hooper Rd, Endwell, NY 13760-3646 | 2017-08-18 |
| 1457790370 | Teresa Anne Antalek | Nurse Practitioner | 415 Hooper Rd, Endwell, NY 13760-3698 | 2013-06-25 |
| 1952695868 | Caitlyn E Burford | Family Medicine | 415 Hooper Rd, Endwell, NY 13760-3646 | 2011-06-08 |
| 1740574383 | Michael Todd Federico | Family Medicine | 415 Hooper Rd, Endwell, NY 13760-3646 | 2011-05-31 |
| 1518275023 | Trichelle Feheley | Nurse Practitioner | 415 Hooper Rd, Endwell, NY 13760-3698 | 2010-09-17 |
| 1972818300 | Wendy K Wolff | Dietitian, Registered | 415 Hooper Rd, Endwell, NY 13760-3646 | 2010-08-10 |
| 1801114285 | Eric Joseph Lorraine | Family Medicine | 415 Hooper Rd, Endwell, NY 13760-3646 | 2010-05-11 |
| 1508096181 | Laurie Van Ingen | Nurse Practitioner | 415 Hooper Rd, Endwell, NY 13760-3646 | 2009-07-17 |
| 1427217140 | Demetrios Gasparis | Family Medicine | 415 Hooper Rd, Endwell, NY 13760-3646 | 2008-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745084 | Lori Ann Bullock | Registered Nurse | 816 Martin Street, Endicott, NY 13760 | 2018-10-12 |
| 1295231405 | Michelle Maria Kavanaugh | Technician/Technologist | 3505 Watson Blvd, Endwell, NY 13760 | 2018-04-05 |
| 1619490091 | Lynda Benson Coccia | Counselor | 1635 Union Center Highway, Endicott, NY 13760 | 2017-07-18 |
| 1780038117 | Maliha Suleman | Family Medicine | Lourdes Endicott Primary Care, 415 E. Main St, Endicott, NY 13760 | 2016-04-22 |
| 1851738165 | Charles William Wells | Clinic/Center | 101 Mitchell St Apt 1, A1 Chucks Taxi, Endicott, NY 13760 | 2013-05-28 |
| 1811257991 | Leslie Estelle Eldridge | Licensed Practical Nurse | 700 W. Wendell St, Endicott, NY 13760 | 2012-05-22 |
| 1801176946 | Janet M Dimaria | Physical Therapist | 712 Farm To Market Rd., Endwell, NY 13760 | 2011-08-21 |
| 1629398466 | Elaine Eagan Mcgraw | Social Worker | 715 Paden St., Endicott, NY 13760 | 2010-06-03 |
| 1447497060 | Sarah Jean Krager | Early Intervention Provider Agency | 317 North Roosevelt Avenue, Endicott, NY 13760 | 2009-01-20 |
| 1457504342 | Timothy John Federowicz | Chiropractor | 2911 Watson Blvd., Endicott, NY 13760 | 2008-10-23 |
| Find all providers in zip 13760 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215592878 | Danielle Johnson | Nurse Practitioner | 800 Hooper Rd, Endwell, NY 13760-1592 | 2019-05-08 |
| 1871969022 | Abby Ehntholt | Nurse Practitioner | 333 Hooper Rd, Endwell, NY 13760 | 2015-08-11 |
| 1457790370 | Teresa Anne Antalek | Nurse Practitioner | 415 Hooper Rd, Endwell, NY 13760-3698 | 2013-06-25 |
| 1386991099 | Rhiannon Bartleson Foster | Nurse Practitioner | 800 Hooper Rd, Endwell, NY 13760-1560 | 2012-08-13 |
| 1528290061 | Melissa Erin Skiadas | Nurse Practitioner | 800 Hooper Rd, Endwell, NY 13760-1560 | 2009-08-18 |
| 1508096181 | Laurie Van Ingen | Nurse Practitioner | 415 Hooper Rd, Endwell, NY 13760-3646 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.