Individual
BURR W HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-4775
Mailing address
601 ELMWOOD AVE, BOX 679B, ROCHESTER, NY 14642-0001
(585) 275-2475
(585) 473-0477
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
231681
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
231681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000925113001
BC/BS OF WESTERN NY
NY
05
—
02529197
—
NY
01
—
142527BO
PREFERRED CARE
NY
01
—
2198369
INDEPENDENT HEALTH
NY
01
—
7291585
AETNA
NY
01
—
P00165447
MEDICARE RAILROAD
NY
01
—
P010231681
BLUE CHOICE
NY
01
—
P020231681
BLUE SHIELD
NY
Enumeration date
06/13/2006
Last updated
07/05/2023
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