Hall, David J

Hall, David J is an individual health care provider with primary practice located at 45 Pine Grove Ave , Kingston NY 12401-5407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hall, David J can be contacted via phone (845) 943-5841.

Contact Information

Primary practice address
45 Pine Grove Ave Kingston NY 12401-5407
Fax: (845) 338-5616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 104001 New York

Profile Details

NPI number 1336170612
LBN Legal business name Hall, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336170612 NPPES
New York MEDICAID 00480662

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