Individual provider · NPI-1
Dr. Hailey Brooke Adler, MD
Student in an Organized Health Care Education/Training Program · Mineola, NY
NPI number1285354613
StatusActive
Last updated in NPPESAug 29, 2022
Details
- NPI
- 1285354613
- Entity type
- Individual (NPI-1)
- Name
- Dr. Hailey Brooke Adler
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2022
- Certification date
- Aug 27, 2022
- Last updated
- Aug 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
222 Station Plz N Ste 300Mineola, NY 11501-3893
Phone 516-663-8706
Mailing address
383 1st St Apt 3sMineola, NY 11501-3604
Phone 416-906-0173
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