Carroll, Lisa

Carroll, Lisa is an sole proprietor health care provider with primary practice located at 17 W 11Th Rd , Broad Channel NY 11693-1115. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Carroll, Lisa can be contacted via phone (347) 754-0711.

Contact Information

Primary practice address
17 W 11Th Rd Broad Channel NY 11693-1115
Phone: (347) 754-0711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1174989909
LBN Legal business name Carroll, Lisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2016
Last updated Jan 9th, 2016 - about 8 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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