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Individual

DEBORAH J CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2 EXECUTIVE BLVD STE 102, SUFFERN, NY 10901-8217
(845) 369-7096
Mailing address
699 ROUTE 9W S, NYACK, NY 10960
(845) 398-2523

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
171520
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA07667400
NJ

Other

Enumeration date
11/03/2006
Last updated
07/21/2022
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