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Shirley Johnson-hall, MD
Specialist in Port Jefferson Station, New York
NPI 1265591952

Shirley Johnson-hall is a Specialist based in Port Jefferson Station, NY. Shirley Johnson-hall practices in Port Jefferson Station, NY and has the professional credentials of MD. The NPI Number for Shirley Johnson-hall is 1265591952 and holds a License No. 234410 (New York).

The current practice location address for Shirley Johnson-hall is 931 Hallock Avenue, Port Jefferson Station, NY and can be reached out via phone at 631-331-7200 and via fax at 631-331-8636.

Location: 931 Hallock Avenue, Port Jefferson Station, NY, 11776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265591952
Provider Name
Shirley Johnson-hall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
931 Hallock Avenue, Port Jefferson Station, NY, 11776
Phone Number
631-331-7200
Fax Number
631-331-8636
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
931 Hallock Avenue
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-331-7200
Fax Number
631-331-8636
person
Provider Business Mailing Address Details
Address
931 Hallock Avenue
City
Port Jefferson Station
State
New York
Zip
11776
Phone Number
631-331-7200
Fax Number
631-331-8636
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
234410 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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