Individual
MS. KATIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 WRIGHTS FERRY ROAD, PUTNAM STATION, NY 12861
(518) 586-4944
Mailing address
95 WRIGHTS FERRY ROAD, PUTNAM STATION, NY 12861
(518) 586-4944
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
113384954
NY
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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