MEDICARE: MRS. ANA T HALLINAN 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
1	207RP1001X	Pulmonary Disease Physician	005762	NY

General Provider Information

NPI Number	:	1548381023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANA T HALLINAN PA

Provider Business Mailing Address
First Line	:	410 LAKEVILLE RD
Second Line	:	SUITE 107
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1101
Country	:	US
Telephone Number	:	516-465-5418
Fax Number	:	516-616-4124

Provider Business Practice Location Address
First Line	:	410 LAKEVILLE ROAD
Second Line	:	SUITES 105 & 107
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1102
Country	:	US
Telephone Number	:	516-465-3899
Fax Number	:	516-616-4124

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	06/13/2012

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