Individual
PROF. DONNA MARIE (DILLANE) HALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, BC, CPNP
Contact information
Practice address
8930 161ST ST, JAMAICA, NY 11432-6105
(718) 526-7533
(718) 262-0643
Mailing address
1 CARPENTER LN, LEVITTOWN, NY 11756-5208
(718) 526-7533
(718) 262-0643
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380421-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F380421-1
PNP CERTIFICATE
NY
Enumeration date
06/06/2007
Last updated
07/08/2007
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