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Individual

MS. LAUREL M BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ACNP, CRNA

Contact information

Practice address
506 6TH STREET, NY METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3279
Mailing address
PO BOX 550, 2 CATHARINE ST, PARK SLOPE ANESTHESIA ASSOCIATES, PC, POUGHKEEPSIE, NY 12602
(866) 868-8416
(845) 790-2675

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
589175
NY
363LA2100X
Acute Care Nurse Practitioner
F432646-01
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
589175
NY

Other

Enumeration date
09/01/2011
Last updated
06/13/2023
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