Carroll, Monique Renee

Carroll, Monique Renee is an individual health care provider with primary practice located at 111 Ridge Rd , Wheatley Heights NY 11798-1052. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Carroll, Monique Renee can be contacted via phone (631) 225-5262.

Contact Information

Primary practice address
111 Ridge Rd Wheatley Heights NY 11798-1052
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 486990 New York

Profile Details

NPI number 1750580171
LBN Legal business name Carroll, Monique Renee
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 26th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750580171 NPPES
New York MEDICAID 02141500

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