Individual
CHRISTOPHER MICHAEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
489 ATLANTIC AVE, BROOKLYN, NY 11217-2985
(718) 332-4747
Mailing address
231 SECOND AVE, STRATFORD, CT 06615-7725
(203) 814-8857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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