NPI
Mallory Jo Miles
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2020-01-15
- Last updated
- 2022-09-30
Specialties
Licenses
- License NY
- 043929
Location
- Practice location
- 178 Grandview Dr
- City
- Cobleskill NY
- Postal code
- 12043-5144
- Phone
- (518) 254-3261
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Cobleskill, NY. 147 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.