National Provider Identifier

Christopher Michael Carroll, D.O.

Christopher Michael Carroll, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Corning, NY and a listed phone number of (607) 973-8000.

NPI 1811378094Corning, NYFamily Medicine Physician

Profile Overview

NPI
1811378094
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
June 14, 2015
Last Updated
March 05, 2021

Practice Location

  • 130 Centerway
  • Corning, NY 14830-2287

Phone: (607) 973-8000

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Family Medicine Physician (207Q00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • ccarroll45713@direct-guthrie.org

    Direct Messaging Address | Direct | Corning, NY 14830

Full Record
NPI
1811378094
Entity Type
Individual
Last Name
Carroll
First Name
Christopher
Middle Name
Michael
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
130 Centerway
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2287
Practice Country
US
Practice Phone
(607) 973-8000
Practice Fax
(607) 937-1837
Enumeration Date
June 14, 2015
Last Updated
March 05, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)