Individual
KRISTEN JEAN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE APT 16C, NEW YORK, NY 10016-6402
(646) 929-7870
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 929-7870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036155321
IL
207R00000X
Internal Medicine Physician
125.072552
IL
208M00000X
Hospitalist Physician
Primary
314997
NY
Other
Enumeration date
03/21/2018
Last updated
10/16/2023
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