Individual
MR. BRIAN R CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
19 W 34TH ST, PENTHOUSE SUITE, NEW YORK, NY 10001-3006
(212) 947-7111
(212) 239-0948
Mailing address
19 W 34TH ST, PENTHOUSE SUITE, NEW YORK, NY 10001-3006
(212) 947-7111
(212) 239-0948
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R057998-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84980072
HIP
NY
01
—
P3586205
OXFORD HEALTH
NY
Enumeration date
05/02/2007
Last updated
07/08/2007
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