Individual
ABIGAIL HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1729 BURRSTONE RD, NEW HARTFORD, NY 13413-1001
(315) 798-1400
(157) 981-4073
Mailing address
1522 OLD BURRSTONE RD, UTICA, NY 13502-4804
(315) 797-2450
(315) 792-4641
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021391
NYS PA LICENSE
NY
05
—
05964407
—
NY
Enumeration date
10/02/2017
Last updated
04/29/2020
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