Michael Anthony Carroll
Speech-Language Pathologist, in New York, NY. Individual provider (NPI-1).
NPI number1508314014
StatusActive
Last updated in NPPESSep 13, 2016
Details
- NPI
- 1508314014
- Entity type
- Individual (NPI-1)
- Name
- Michael Anthony Carroll
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2016
- Last updated
- Sep 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
134 W 26th StSuite 602
New York, NY 10001-6803
Phone 212-604-9360
Mailing address
8910 250th StBellerose, NY 11426-2318
Phone 718-347-7710
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