Individual
DANIELLE M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8906 135TH ST, SUITE 3D, JAMAICA, NY 11418-2821
(718) 206-6919
Mailing address
8906 135TH ST, SUITE 3D, JAMAICA, NY 11418-2821
(718) 206-6919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
289122
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2015
Last updated
09/21/2017
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