Mr Shannon Eugene Carroll, - Nurse Practitioner in New York, NY

Mr Shannon Eugene Carroll, is a Nurse Practitioner - Psychiatric/mental Health based in New York, New York. Mr Shannon Eugene Carroll is licensed to practice in New York (license number 401730) and his current practice location is 726 Broadway, Suite 471, New York, New York. He can be reached at his office (for appointments etc.) via phone at (212) 998-4780.

NPI number for Mr Shannon Eugene Carroll is 1932515962 and his current mailing address is 726 Broadway, Suite 471, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932515962.

Contact Information

Mr Shannon Eugene Carroll,
726 Broadway, Suite 471,
New York, NY 10003-9502
(212) 998-4780
(212) 995-4096

Map and Direction




Provider's Profile

Full NameMr Shannon Eugene Carroll
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location726 Broadway, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1932515962
  • Provider Enumeration Date: 07/10/2014
  • Last Update Date: 08/21/2014

Medical Identifiers

Medical identifiers for Mr Shannon Eugene Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932515962NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 401730 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shannon Eugene Carroll is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Shannon Eugene Carroll,
726 Broadway, Suite 471,
New York, NY 10003-9502

Ph: (212) 998-4780
Mr Shannon Eugene Carroll,
726 Broadway, Suite 471,
New York, NY 10003-9502

Ph: (212) 998-4780

Reviews and Comments


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