Odette R. Hall, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

243777-1 Issued in NY

Practice address

725 Veteran's Memorial Highway
North County Complex BLDG. 487
Hauppauge, NY 11788

Phone

(631) 853-5555

NPI assigned

Mar 17, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1861885766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 VETERAN'S MEMORIAL HIGHWAY",
            "address_2": "NORTH COUNTY COMPLEX BLDG. 487",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-853-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 VETERAN'S MEMORIAL HIGHWAY",
            "address_2": "NORTH COUNTY COMPLEX BLDG. 487",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-853-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ODETTE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "NY",
            "license": "243777-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Guillen
• Carissa Gulli, LMSW
• Megan Guzman, OTR/L
• Sheryl Ann Hafers, L.C.S.W.
• Christina Halikias, M.S. CF-SLP
• Shaquanna Hall
• Shenelle Hall
• Zeenat Hameed, OTR/L
• Hands of Hope Mental Healthcare
• Shannon Harden

• Forensic Pathology Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Forensic Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.