Individual
NICOLE LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(347) 758-0695
Mailing address
1470 MADISON AVE, NEW YORK, NY 10029-6542
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310598
NY
Other
Enumeration date
12/31/2021
Last updated
01/22/2022
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