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Contact Information

SHIRLEY JOHNSON HALL, MD
931 HALLOCK AVENUE
PORT JEFFERSON STATION, NY11776
 Phone: 631-331-7200
 Fax: 631-331-8636
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SHIRLEY JOHNSON HALL · (Female)

NPI # 1265591952
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2006
Last updated 05/07/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 234410
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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