DR. ODETTE R. HALL (NPI# 1861885766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861885766 |
| Entity Type | Individual |
| Full Name | DR. ODETTE R. HALL |
| Credential | M.D. |
| Practice Address |
725 Veteran's Memorial Highway North County Complex Bldg. 487 Hauppauge NY 11788 |
| Practice Telephone | 6318535555 |
| Mailing Telephone | 6318535555 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
243777-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
725 VETERAN'S MEMORIAL HIGHWAY NORTH COUNTY COMPLEX BLDG. 487 |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861521320 | Elizabeth Mary Macgilvray | Nurse Practitioner | 725 Veteran's Memorial Highway, North County Clinic Building 151, Hauppauge, NY 11788 | 2007-03-02 |
| 1891825113 | Denise Claire Messier | Social Worker | 725 Veteran's Memorial Highway, Building 151, Hauppauge, NY 11788 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679122691 | Megan Breen | Occupational Therapist | 1363 E Veterans Memorial Hwy, # 8, Hauppauge, NY 11788 | 2019-09-11 |
| 1396300729 | Destination Dental Pllc | Dentist | 400 Townline Rd Ste 150, Hauppauge, NY 11788 | 2019-05-01 |
| 1285199612 | Juan Cardona | Registered Nurse | 99 Adams Ave, Hauppage, NY 11788 | 2019-02-11 |
| 1548737836 | Lauren Nicole Mateja | Physician Assistant | 7 Essex Drive, Hauppauge, NY 11788 | 2018-10-25 |
| 1174004477 | North Shore Anesthesia Group | Clinic/Center | 11-52 Engineers St, Haupphauge, NY 11788 | 2018-08-24 |
| 1891244414 | Donna Carrature | Technician, Other | 101 Old Post Drive, Hauppauge, NY 11788 | 2016-09-23 |
| 1427504455 | Jessica L Arnoux | Speech-Language Pathologist | 1363 Veterans Memorial Hwy #8, Metro Therapy, Hauppauge, NY 11788 | 2016-08-30 |
| 1548716871 | Angelica Lalota | Speech-Language Pathologist | 495 Hoffman Lane Suite #3, Hauppauge, NY 11788 | 2016-08-28 |
| 1831541440 | Melissa Modica | Behavioral Analyst | 9 Calico Tree Road, Hauppauge, NY 11788 | 2016-07-07 |
| 1588033377 | Corissa N Ceschini | Speech-Language Pathologist | 12 Don Ln, Hauppauge, NY 11788 | 2015-09-22 |
| Find all providers in zip 11788 | ||||
| Taxonomy Code | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337535 | Aaron J Rosen | Pathology | 725 Veterans Memorial Hwy, North County Complex, Hauppauge, NY 11788 | 2020-08-18 |
| 1073777231 | Maura E Dejoseph | Pathology | 725 Veterans Memorial Highway, Forensic Sciences Bldg #487, Hauppauge, NY 11788-0099 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302642 | Yvonne Milewski | Pathology | 16015 82nd Dr, Jamaica, NY 11432-1102 | 2020-09-25 |
| 1609233386 | Margaret Mary Prial | Pathology | 520 First Ave., New York, NY 10016 | 2016-01-26 |
| 1407100266 | Michael Demartino | Pathology | 58 Iroquois St E, Massapequa, NY 11758-7626 | 2012-11-01 |
| 1659657237 | Stuart Lyle Dawson | Pathology | 16 Radburn Dr, Commack, NY 11725-1117 | 2011-10-27 |
| 1720364763 | Kara I. Storck | Pathology | 160-15 82nd Drive, Jamaica, NY 11432 | 2011-10-21 |
| 1952600165 | Sean C Kelly | Pathology | 364 13th St Apt 3, Brooklyn, NY 11215-7334 | 2011-03-28 |
| 1902105646 | Kanayo Tatsumi | Pathology | 520 First Avenue, New York, NY 10016 | 2011-03-21 |
| 1144524414 | Gerard Anthony Catanese | Pathology | 64 Muttontown Rd, Syosset, NY 11791-2401 | 2010-12-30 |
| 1114157286 | Zoya B Shmuter | Pathology | 444 E 86th St Apt 19h, New York, NY 10028-6461 | 2009-07-22 |
| 1144456997 | Kari B. Reiber | Pathology | 85 Civic Center Plz Ste 106, Poughkeepsie, NY 12601-2446 | 2009-06-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.