Individual
DR. STELLA M CAROLLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
58-47 FRANCIS LEWIS BLVD, SUITE 12, BAYSIDE, NY 11364
(718) 224-4000
(718) 224-1921
Mailing address
58-47 FRANCIS LEWIS BLVD, SUITE 12, BAYSIDE, NY 11364
(718) 224-4000
(718) 224-1921
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
047274
NY
Other
Enumeration date
05/23/2008
Last updated
09/15/2008
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