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Mandisa Hall
NPI 1366804353 · on the registry since 2016 · sole proprietor
Practice
- Address
- 511 Cleveland St
Brooklyn, NY 11208 - Phone
- (917) 957-0648
- Organisation at this address
- Mandisa Hall
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York