Individual
JONATHAN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 GLENMERE COVE RD, GOSHEN, NY 10924-6059
(845) 862-5700
Mailing address
10 HOFFMAN CT, CAMPBELL HALL, NY 10916-2126
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
055726
NY
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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