MEDICARE: DR. KAYE ELIZABETH HALE M.D.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	251224	NY
2	207RP1001X	Pulmonary Disease Physician	251224	NY

General Provider Information

NPI Number	:	1306087507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAYE ELIZABETH HALE M.D.

Provider Business Mailing Address
First Line	:	130 JANE ST
Second Line	:	APT 5F
City	:	NEW YORK
State	:	NY
Zip	:	10014-1705
Country	:	US
Telephone Number	:	212-691-8636
Fax Number	:

Provider Business Practice Location Address
First Line	:	153 W 11TH ST
Second Line	:	ST. VINCENT'S CATHOLIC MEDICAL CENTER
City	:	NEW YORK
State	:	NY
Zip	:	10011-8305
Country	:	US
Telephone Number	:	212-604-7262
Fax Number	:

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

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	03/18/2009

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