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Contact Information

ANNA CARROLL, NP
3001 EXPRESSWAY DR N
SUITE 104
ISLANDIA, NY11749-5301
 Phone: 631-435-0110
 Fax: 631-435-4582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANNA CARROLL · (Female)

NPI # 1255729802
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 01/06/2015
Last updated 01/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F306998-1
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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