Individual
DR. BRIAN C CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DCPC
Contact information
Practice address
1484 BROADWAY AVE, HOLBROOK, NY 11741
(631) 737-3838
(631) 737-8467
Mailing address
PO BOX 167, HOLBROOK, NY 11741-0167
(631) 737-3838
(631) 737-8467
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009401
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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