Individual
MARK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP, NPP
Contact information
Practice address
16 MADISON SQ W STE 1108, NEW YORK, NY 10010-1629
(646) 500-8627
(646) 863-1427
Mailing address
1115 BROADWAY STE 1108, NEW YORK, NY 10010-3450
(646) 500-8627
(646) 863-1427
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
307355
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102964985
—
PA
Enumeration date
10/22/2013
Last updated
05/07/2026
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