Individual
MOIRA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L. PLACE, BOX 1149, NEW YORK, NY 10029
(212) 824-8069
Mailing address
1 GUSTAVE L. PLACE, BOX 1149, NEW YORK, NY 10029-7220
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
299024
NY
Other
Enumeration date
06/01/2015
Last updated
08/20/2020
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