Individual
WILLIAM CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1342
(607) 277-3790
(607) 277-3849
Mailing address
101 DATES DR, ITHACA, NY 14850-1342
(607) 277-3790
(607) 277-3849
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
195710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01518198
—
NY
Enumeration date
08/02/2005
Last updated
11/18/2011
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