Individual
ELIZABETH GERALYN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
90 PRESIDENTIAL PLAZA, 2ND FLOOR, SYRACUSE, NY 13202
(315) 464-3833
(315) 464-3791
Mailing address
251 SALINA MEADOWS PKWY, SUITE 100, SYRACUSE, NY 13212
(315) 464-2000
(315) 464-2010
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
452777
NY
207N00000X
Dermatology Physician
330819
NY
363LF0000X
Family Nurse Practitioner
Primary
330819
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02246413C
—
NY
Enumeration date
09/06/2006
Last updated
02/01/2018
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