Individual
REBECCA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-3183
Mailing address
1400 NOYES ST, UTICA, NY 13502-3852
(315) 738-3183
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
378339-1
NY
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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