SHANNON EUGENE CARROLL

NEW YORK, NY
NPI1932515962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  401730)
Enumeration Date2014-07-10
Last Update Date2014-08-21
Business Address
Mr. SHANNON EUGENE CARROLL
726 BROADWAY SUITE 471
NEW YORK, NY 10003-9502
Phone number: 212-998-4780
Mailing Address
Mr. SHANNON EUGENE CARROLL
726 BROADWAY SUITE 471
NEW YORK, NY 10003-9502
Phone number: 212-998-4780
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