MEDICARE: BRIAN W HALL R.P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	002006	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538109616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN W HALL R.P.A.

Provider Business Mailing Address
First Line	:	PO BOX 725
Second Line	:
City	:	COOPERSTOWN
State	:	NY
Zip	:	13326-0725
Country	:	US
Telephone Number	:	518-673-5555
Fax Number	:	518-673-5761

Provider Business Practice Location Address
First Line	:	56 MONTGOMERY ST
Second Line	:
City	:	CANAJOHARIE
State	:	NY
Zip	:	13317-1212
Country	:	US
Telephone Number	:	518-673-5555
Fax Number	:	518-673-5761

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	04/07/2008

Similar Medicare Providers

1770924474 — BASSETT HEALTHCARE CANAJOHARIE
Practice Location Address:

56 MONTGOMERY ST
CANAJOHARIE, NY
13317-1212

Practice Phone: 607-547-3456
Practice Fax:

1689095374 — YORK PSYCHOLOGY, P.L.L.C.
Practice Location Address:

66 MONTGOMERY ST
CANAJOHARIE, NY
13317-1212

Practice Phone: 518-673-8060
Practice Fax: 518-673-8061

1508284704 — DR. MICHAEL NORMAN DIVAK PH.D.
Practice Location Address:

66 MONTGOMERY ST STE 2
CANAJOHARIE, NY
13317-1212

Practice Phone: 518-673-6001
Practice Fax: 518-673-6033

1881008712 — MS. KAREN MARIE CARUSO FNP-C
Practice Location Address:

56 MONTGOMERY ST
CANAJOHARIE, NY
13317-1212

Practice Phone: 518-673-5555
Practice Fax:

1679054167 — DR MICHAEL DIVAK PSYCHOLOGIST
Practice Location Address:

66 MONTGOMERY ST STE 2
CANAJOHARIE, NY
13317-1212

Practice Phone: 518-673-6001
Practice Fax:

1639726565 — MARY IMOGENE BASSETT HOSPITAL
Practice Location Address:

56 MONTGOMERY ST
CANAJOHARIE, NY
13317-1212

Practice Phone: 518-673-5555
Practice Fax: 518-673-5761

Directions to “ BRIAN W HALL R.P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.