Lisa Carroll
Lisa Carroll is an Early Intervention Provider Agency in Broad Channel, New York. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
17 W 11th RdBroad Channel, NY 11693-1115
Phone: (347) 754-0711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1174989909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 9, 2016 |
| Last updated in NPPES | January 9, 2016 |
| Mailing address | 17 W 11th Rd, Broad Channel, NY 11693-1115 |