Individual
DR. CHRISTIAN CAROLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
42 BROADWAY STE 1535, NEW YORK, NY 10004-3885
(212) 393-4673
Mailing address
12 ASH PL, HUNTINGTON, NY 11743-4302
(718) 496-5917
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011320
NY
Other
Enumeration date
12/14/2006
Last updated
04/26/2019
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