Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 311663-01 | NY |
N | 207RX0202X | Medical Oncology | L1060 | TX |
NPI | 1013955095 |
---|---|
Provider Name | Dr. Jessica Hals |
First Address | Binghamton, NY 13905-4246 |
Second Address | Binghamton, NY 13905-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 14/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
167773402 | (05) | TX |
167773404 | (05) | TX |
8U7567 | BCBS (01) |