Individual
ELIZABETH ANNA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 GRIDER STREET, BUFFALO, NY 14215
(716) 898-4166
Mailing address
51 PULLMAN AVE, KENMORE, NY 14217
(716) 344-0721
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018458
NY
Other
Enumeration date
02/24/2015
Last updated
03/24/2017
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