MEDICARE: ZEV CARROLL MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	170636	NY

General Provider Information

NPI Number	:	1851484190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZEV CARROLL MD PC

Provider Business Mailing Address
First Line	:	1025 CRESTWOOD RD
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1633
Country	:	US
Telephone Number	:	516-569-6828
Fax Number	:	516-569-6828

Provider Business Practice Location Address
First Line	:	1229 BROADWAY
Second Line	:	SUITE 108
City	:	HEWLETT
State	:	NY
Zip	:	11557-2014
Country	:	US
Telephone Number	:	516-295-3860
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ZEV CARROLL
Credential	:	MD
Telephone Number	:	516-569-6828

Provider Enumeration Date	:	09/30/2006
Last Update Date	:	02/02/2021

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