Individual
MISS ABIGAIL CATHERINE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 992-7669
Mailing address
1276 FULTON AVE, RM 219, BRONX, NY 10456-3402
(325) 642-8600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023514
NY
363A00000X
Physician Assistant
PA12760
TX
Other
Enumeration date
08/05/2019
Last updated
09/13/2019
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