Individual
ALAN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1370 BROADWAY, #560, NEW YORK, NY 10018-7302
(718) 419-3416
Mailing address
11846 228TH ST, CAMBRIA HEIGHTS, NY 11411-2132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
070460
NY
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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