Individual
ALYSSA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 241-6758
Mailing address
5 CEDAR RIDGE LN, RANDOLPH, NJ 07869-4704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342081
NY
Other
Enumeration date
07/18/2017
Last updated
10/24/2023
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