Individual provider · Type 1 NPI

Shirley Johnson-Hall, MD

Specialist · Port Jefferson Station, NY

NPI number 1265591952 Active

Practice location

931 Hallock Avenue
Port Jefferson Station, NY 11776

Call (631) 331-7200 Map

Fax (631) 331-8636

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X234410 (NY)

Specialist: 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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About NPI 1265591952

Shirley Johnson-Hall, MD's National Provider Identifier is 1265591952, issued on Dec 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on May 7, 2015.