Individual
AMANDA JUSTINE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968-5009
(631) 726-8420
Mailing address
PO BOX 955, PORT JEFFERSON STATION, NY 11776-0808
(631) 979-4400
(631) 979-4475
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
227489
NY
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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