Individual
MRS. DENISE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 SILLS RD, BLDG.15, STE. D, EAST PATCHOGUE, NY 11772-4869
(631) 758-5858
(631) 758-1926
Mailing address
4 TAMARACK RD, ROCKY POINT, NY 11778-8544
(631) 744-5549
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00567871
NY
Other
Enumeration date
05/08/2006
Last updated
05/30/2013
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