Individual
EILEEN MARY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
736 IRVING AVE, SYRACUSE, NY 13210-1687
(315) 470-7424
(315) 470-2881
Mailing address
420 W LEWIS ST, CANASTOTA, NY 13032-1042
(315) 697-2693
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
300063
NY
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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