# THORACIC VASCULAR SURGEON, PLLC

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

## Provider details

- **NPI number:** 1811064033
- **Authorized official:** DR. FRANCIS X CARROLL MD (PRESIDENT)
- **Authorized official phone:** (845) 278-9670

## Contact information

- **Practice address:** 664 STONELEIGH AVE, 204, CARMEL, NY 10512-3940
- **Practice address phone:** (845) 278-9670
- **Mailing address:** 664 STONELEIGH AVE, 204, CARMEL, NY 10512-3940
- **Mailing address phone:** (845) 278-9670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 185652 | NY | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 03/14/2008