Thall, Eric Hyiam

Thall, Eric Hyiam is an individual health care provider with primary practice located at 200 N Village Ave Suite 300, Rockville Centre NY 11570-2341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Thall, Eric Hyiam can be contacted via phone (516) 766-2929.

Contact Information

Primary practice address
200 N Village Ave Suite 300 Rockville Centre NY 11570-2341
Fax: (516) 766-7728
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 191069 New York

Profile Details

NPI number 1225029572
LBN Legal business name Thall, Eric Hyiam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 21st, 2008 - about 16 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 1225029572 NPPES
Other 2214116 AETNA
Other 340017949 AETNA
Other 1099460 AETNA
Other 136196-A32 AETNA
Other 200649 AETNA
Other 2C7429 AETNA
Other 74266 AETNA
Other ET055T9710 AETNA
Other P589155 AETNA
Other 191069 AETNA
Other 2C7429 AETNA
Other 000000068631 AETNA
MEDICAID 01836933 AETNA

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