# MARK HALL NURSE PRACTITIONER IN PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255816005
- **Authorized official:** MARK HALL NP (OWNER/MEMBER)
- **Authorized official phone:** (646) 500-8627

## Contact information

- **Practice address:** 1115 BROADWAY STE 1108, NEW YORK, NY 10010-3450
- **Practice address phone:** (646) 500-8627
- **Mailing address:** 55 W 92ND ST APT 2B, NEW YORK, NY 10025-7628
- **Mailing address phone:** (646) 500-8627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 09/23/2023