MEDICARE: MARY ALICE HALL

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	363LF0000X	Family Nurse Practitioner	347677	NY

General Provider Information

NPI Number	:	1952077729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ALICE HALL

Provider Business Mailing Address
First Line	:	874 HERITAGE CT
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1105
Country	:	US
Telephone Number	:	914-960-8694
Fax Number	:

Provider Business Practice Location Address
First Line	:	874 HERITAGE CT
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1105
Country	:	US
Telephone Number	:	914-960-8694
Fax Number	:

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

Provider Enumeration Date	:	08/20/2021
Last Update Date	:	08/20/2021

Similar Medicare Providers

1336102656 — DR. LAURA JEAN NEWMAN PHD
Practice Location Address:

3321 73RD ST
JACKSON HEIGHTS, NY
11372-1105

Practice Phone: 646-239-5615
Practice Fax:

1164746855 — V.N. SEHGAL, P.C.
Practice Location Address:

33-19 73 STREET
JACKSON HEIGHTS, NY
11372-1105

Practice Phone: 718-429-2470
Practice Fax: 718-429-5315

1740573930 — GO PHYSICAL THERAPY AND WELLNESS PC
Practice Location Address:

5 EDWARDS ST , APT 1G
ROSLYN HEIGHTS, NY
11577-1105

Practice Phone: 516-946-6442
Practice Fax:

1780926972 — MS. HOLLY GABRIELLE KAMLET MA,PT
Practice Location Address:

5 EDWARDS ST APT 1G
ROSLYN HEIGHTS, NY
11577-1105

Practice Phone: 516-214-8307
Practice Fax:

1548867823 — MARIANNE CARDILLO LLC
Practice Location Address:

72 CEDAR HEIGHTS RD
STAMFORD, CT
06905-1105

Practice Phone: 203-253-6167
Practice Fax:

1750026852 — ANNA GABRIELLE HOLTZMAN LMHC
Practice Location Address:

3323 73RD ST
JACKSON HEIGHTS, NY
11372-1105

Practice Phone: 646-270-2082
Practice Fax:

Directions to “ MARY ALICE HALL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.