Provider Demographics
NPI:1851504815
Name:HASHMALL, GAIL S (RN)
Entity Type:Individual
Prefix:MS
First Name:GAIL
Middle Name:S
Last Name:HASHMALL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4417
Mailing Address - Country:US
Mailing Address - Phone:516-826-6955
Mailing Address - Fax:
Practice Address - Street 1:35 RAMSEY RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-1101
Practice Address - Country:US
Practice Address - Phone:631-543-8663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255563163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02392267Medicaid