Organization
BRIAN C CARROLL DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C CARROLL DC PC (CHIROPRACTOR OWNER)
(631) 737-3838
Entity
Organization
Contact information
Practice address
1484 BROADWAY AVE, HOLBROOK, NY 11741
(631) 737-3838
(631) 737-8467
Mailing address
PO BOX 167, HOLBROOK, NY 11741
(631) 737-3838
(631) 737-8467
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009401
NY
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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