Most Relevant Information
Provider Data
| NPI Number: | 1003294802 |
| Provider Name: | DAVID CARROLL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 006202 |
Most Important Dates
| Enumeration Date: | 05/12/2015 |
| Last Updated: | 05/12/2015 |
Provider Practice Location
1124 ROUTE 94 STE 201
NEW WINDSOR
NY
125537258
Practice Location Phone/Fax
| Phone: | 8454584557 |
| Fax: | 8454584559 |
Provider Mailing Location
1124 ROUTE 94 STE 201
NEW WINDSOR
NY
125537258
Provider Mailing Phone/Fax
| Phone: | 8454584557 |
| Fax: | 8454584559 |