Individual
ELIZABETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 276-3507
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383555
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745432
THE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT
NY
Enumeration date
04/23/2024
Last updated
04/23/2024
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