Sorivel Carrasquillo

NPI #1700766391 in Laurelton, New York

Provider Information

NPI Number: 1700766391
Entity Type: Individual
Name: Sorivel Carrasquillo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 4, 2025
Last Updated: Sep 4, 2025

Practice Location

Address: 14219 222ND ST APT 1
City: Laurelton
State: New York
ZIP Code: 11413-3136
Phone: (347) 290-9280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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