Individual
DR. EDWARD GEORGE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
29 RAVENNA DR, POMONA, NY 10970-3607
(845) 362-9176
(845) 362-9176
Mailing address
29 RAVENNA DR, POMONA, NY 10970-3607
(845) 362-9176
(845) 362-9176
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
177606
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740393024
NPI
NY
Enumeration date
08/17/2006
Last updated
01/17/2013
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