Individual
JOHN-WILLIAM NATHANIEL CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 945-3000
Mailing address
10 NEVINS ST APT 25A, BROOKLYN, NY 11217-4871
(617) 938-8057
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
308655
NY
Other
Enumeration date
03/29/2016
Last updated
07/20/2021
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