Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Carroll

Individual provider Early Intervention Provider Agency · NPI 1174989909

Lisa Carroll is an Early Intervention Provider Agency in Broad Channel, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

17 W 11th Rd
Broad Channel, NY 11693-1115
Phone: (347) 754-0711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X

Record details

NPI number1174989909
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2016
Last updated in NPPESJanuary 9, 2016