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NPI Code Detail

MEDICARE: EMILY R HALL PA

MEDICARE:   EMILY R HALL  PA
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
1363A00000XPhysician Assistant011048NY

Other Identifiers

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

General Provider Information

NPI Number : 1356495071
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY R HALL PA
Provider Business Mailing Address
First Line : 221 JERICHO TPKE
Second Line :
City : SYOSSET
State : NY
Zip : 11791-4515
Country : US
Telephone Number : 516-496-6500
Fax Number :
Provider Business Practice Location Address
First Line : 221 JERICHO TPKE
Second Line :
City : SYOSSET
State : NY
Zip : 11791-4515
Country : US
Telephone Number : 516-496-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 03/17/2026

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Directions to “ EMILY R HALL PA” Practice Location

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