Individual
MR. SHANNON EUGENE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 E 23RD ST STE 600, NEW YORK, NY 10010-4580
(347) 525-8515
(520) 441-3322
Mailing address
125 E 23RD ST STE 600, NEW YORK, NY 10010-4580
(347) 525-8515
(520) 441-3322
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401730
NY
Other
Enumeration date
07/10/2014
Last updated
04/17/2026
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