Individual
ANNA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3001 EXPRESSWAY DR N, SUITE 104, ISLANDIA, NY 11749-5301
(631) 435-0110
(631) 435-4582
Mailing address
3001 EXPRESSWAY DR N, SUITE 104, ISLANDIA, NY 11749-5301
(631) 435-0110
(631) 435-4582
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F306998-1
NY
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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