Nikolas Hall
Licensed Practical Nurse in New York, NY. Individual provider (NPI-1).
NPI number1497537005
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1497537005
- Entity type
- Individual (NPI-1)
- Name
- Nikolas Hall
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2023
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 348282 | NY | Yes |
Practice location
190 Mercer StNew York, NY 10012-1502
Phone 212-242-4140
Mailing address
2400 Hunter Ave Apt 16fBronx, NY 10475-5611
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