Healthcare Provider Details

I. General information

NPI: 1679494306
Provider Name (Legal Business Name): EMILY HALLING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SOUTH AVE
ROCHESTER NY
14620-2782
US

IV. Provider business mailing address

83 PONTIAC ST
WEBSTER NY
14580-3518
US

V. Phone/Fax

Practice location:
  • Phone: 585-473-2200
  • Fax:
Mailing address:
  • Phone: 585-944-4960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number358774
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: