Xavier Carroll

Individual provider Active NPI Occupational Therapist · Sunnyside, NY

NPI 1700329679 · NPPES record last updated Nov 28, 2016

Key facts

NPI
1700329679
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
4531 43Rd St
1St Floor
Sunnyside, NY 11104-2609
Phone
(917) 379-0911
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

4531 43Rd St
1St Floor
Sunnyside, NY 11104-2609

Mailing address

4531 43Rd St
1St Floor
Sunnyside, NY 11104-2609
Phone (917) 379-0911

Other providers in Sunnyside, NY

All providers in Sunnyside, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.