Doctor Name: | BRIAN L HALLEY |
NPI Number: | 1124184262 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 022279 |
Business Practice Address: | 543 Canal Rd Mount Sinai, NY - 117663304 |
Business Phone Number: | 6318282670 |
Business Fax Number: | |
Mailing Address: | 543 Canal Rd, MOUNT SINAI |
State: | NY |
Postal Code: | 117663304 |
Phone Number: | 6318282670 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 022279 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |