Individual
AMY JO BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 LEO MOSS DR STE 4308, OLEAN, NY 14760-1100
(716) 373-8040
(716) 701-3729
Mailing address
1 LEO MOSS DR STE 4308, OLEAN, NY 14760-1100
(716) 373-8040
(716) 701-3729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
858948
NY
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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