Organization
DEERFIELD FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH C BOOTH MD (PHYSICIAN)
(315) 724-7999
Entity
Organization
Contact information
Practice address
5592 TRENTON RD, UTICA, NY 13502-1138
(315) 724-7999
(315) 724-3109
Mailing address
5592 TRENTON RD, UTICA, NY 13502-1138
(315) 724-7999
(315) 724-3109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BA0315
—
NY
Enumeration date
12/20/2006
Last updated
08/22/2020
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