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Individual

JAMES E CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16 DANFORTH ST, HOOSICK FALLS, NY 12090-1226
(518) 686-5770
(518) 686-7751
Mailing address
16 DANFORTH ST, HOOSICK FALLS, NY 12090-1226
(518) 686-5770
(518) 686-7751

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042-0006978
VT
207Q00000X
Family Medicine Physician
Primary
153835-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005850
VT
05
01240019
NY
Enumeration date
04/25/2006
Last updated
07/21/2022
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