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: |