Individual
DR. LAURA J BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
945 E HENRIETTA RD, ROCHESTER, NY 14623-1419
(585) 292-6440
(585) 292-6491
Mailing address
945 E HENRIETTA RD, ROCHESTER, NY 14623-1419
(585) 292-6440
(585) 292-6491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
171560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01443163
—
NY
01
—
4343442
AETNA
NY
01
—
MDG244
PREFERRED CARE
NY
01
—
P010171560
EXCELLUS
NY
Enumeration date
08/04/2006
Last updated
07/05/2023
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