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General NPI Number Information
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NPI Number | 1982673109
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Entity Type | Individual
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Provider Name | KIM MARIE HALLINAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 50 SANATORIUM RD BUILDING D
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City | POMONA
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State | NY
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Zip | 10970-3555
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Country | US
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Telephone | 845-364-2531
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Fax |
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Provider Business Mailing Address
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Address Line | 40 ROCKFORD DR
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City | WEST NYACK
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State | NY
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Zip | 10994-1122
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Country | US
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Telephone | 845-623-1119
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332371
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License Number State | NY
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