Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | F383177-01 | NY |
NPI | 1003480906 |
---|---|
Provider Name | Hillary Halter |
First Address | New York, NY 10024-4588 |
Second Address | New York, NY 10029-6508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2021 |
Last Update Date | 14/05/2021 |