Individual
BRIAN W HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.P.A.
Contact information
Practice address
56 MONTGOMERY ST, CANAJOHARIE, NY 13317-1212
(518) 673-5555
(518) 673-5761
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(518) 673-5555
(518) 673-5761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01270337
—
NY
Enumeration date
06/07/2006
Last updated
04/07/2008
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