Most Relevant Information
Provider Data
| NPI Number: | 1003540188 |
| Provider Name: | JENNIFER BOOTH APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 718715 |
Most Important Dates
| Enumeration Date: | 07/13/2022 |
| Last Updated: | 09/28/2023 |
Provider Practice Location
229 7TH ST STE 105
GARDEN CITY
NY
115305766
Practice Location Phone/Fax
| Phone: | 2122833000 |
| Fax: |
Provider Mailing Location
33 E 33RD ST FL 12
NEW YORK
NY
100165362
Provider Mailing Phone/Fax
| Phone: | 2122833000 |
| Fax: |