Individual
JENNIFER ROSE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
197 HALF HOLLOW RD, DIX HILLS, NY 11746-5861
(631) 370-1694
Mailing address
49 REEVES AVE, FARMINGDALE, NY 11735-1627
(631) 561-5125
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
795795
NY
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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