Individual
JOHN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 CORNELL ST STE 201, KINGSTON, NY 12401-3652
(203) 577-9835
(203) 577-9835
Mailing address
PO BOX 255, HOUSATONIC, MA 01236-0255
(203) 577-9835
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
P133253
NY
Other
Enumeration date
01/10/2025
Last updated
01/14/2025
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