# BRIAN C CARROLL DC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689704330
- **Authorized official:** BRIAN C CARROLL DC PC (CHIROPRACTOR OWNER)
- **Authorized official phone:** (631) 737-3838

## Contact information

- **Practice address:** 1484 BROADWAY AVE, HOLBROOK, NY 11741
- **Practice address phone:** (631) 737-3838
- **Practice address fax:** (631) 737-8467
- **Mailing address:** PO BOX 167, HOLBROOK, NY 11741
- **Mailing address phone:** (631) 737-3838
- **Mailing address fax:** (631) 737-8467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009401 | NY | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020