Individual
DONNA ROSE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 PLAZA CT STE B, EAST STROUDSBURG, PA 18301-8262
(570) 426-2301
Mailing address
33 LEWIS RD STE 2, BINGHAMTON, NY 13905-1040
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018954
NY
363AM0700X
Medical Physician Assistant
Primary
MA056304
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03821441
—
NY
01
—
J400273837
NY MEDICARE
NY
Enumeration date
10/16/2012
Last updated
04/02/2025
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