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Individual

ERIN M CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, CNM

Contact information

Practice address
792 N MAIN ST STE 200, NORTH SYRACUSE, NY 13212
(315) 458-8700
(315) 701-1075
Mailing address
792 N MAIN ST STE 200, NORTH SYRACUSE, NY 13212-1644
(315) 458-8700
(315) 701-1075

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343403-1
NY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
F3601371
NY

Other

Enumeration date
05/24/2005
Last updated
07/17/2019
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