Individual
EMILY O'CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
315 GRANT AVE, LAKE KATRINE, NY 12449-5342
(845) 339-2525
Mailing address
4206 LAKE SHORE DR, DIAMOND POINT, NY 12824-1802
(518) 683-0618
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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