Carollo, Michael

Carollo, Michael is an sole proprietor health care provider with primary practice located at 710 W 168Th St Fl 12 , New York NY 10032-3726. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carollo, Michael can be contacted via phone (212) 305-9758.

Contact Information

Primary practice address
710 W 168Th St Fl 12 New York NY 10032-3726
Phone: (212) 305-9758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 023871 New York
Behavioral Health & Social Service Providers / Health Service 103TH0100X 023871 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 023871 New York

Profile Details

NPI number 1306394184
LBN Legal business name Carollo, Michael
Credentials PSYD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2016
Last updated Dec 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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