| NPI | 1508597063 |
|---|---|
| Other Name | JEROME HALL, LISW-CP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHTER Credentialing Specialist 516-984-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-08-15 |