Individual
MARY EVELYN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, RN
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
101 CHERRY ROSE TRL, CANTON, MS 39046-5028
(601) 927-0595
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
002214
NY
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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