Provider Demographics
NPI:1568536720
Name:HALL-APICELLA, VIRGINIA ROSE (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIRGINIA
Middle Name:ROSE
Last Name:HALL-APICELLA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:572 ROUTE 303
Mailing Address - Street 2:
Mailing Address - City:BLAUVELT
Mailing Address - State:NY
Mailing Address - Zip Code:10913-1941
Mailing Address - Country:US
Mailing Address - Phone:845-398-0934
Mailing Address - Fax:845-398-0913
Practice Address - Street 1:572 ROUTE 303
Practice Address - Street 2:
Practice Address - City:BLAUVELT
Practice Address - State:NY
Practice Address - Zip Code:10913-1941
Practice Address - Country:US
Practice Address - Phone:845-398-0934
Practice Address - Fax:845-398-0913
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009082103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV06151Medicare ID - Type Unspecified