Individual
CAROLL MONSERRATE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 NYS ROUTE17M, GOSHEN, NY 10924
(845) 458-8661
Mailing address
2001 NYS ROUTE 17M, GOSHEN, NY 10924-0058
(845) 458-8661
(845) 458-8661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
$$$$$$$$$
NY
174400000X
Specialist
643652051
NY
174400000X
Specialist
Primary
643653051
NY
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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