Individual
MR. CHEYENNE ALLEN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
47 NEW SCOTLAND AVE MC-139, ALBANY MEDICAL CENTER DEPT EMERGENCY MEDICINE, ALBANY, NY 12208-3412
(518) 262-3131
(518) 262-3236
Mailing address
43 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019116
NY
363A00000X
Physician Assistant
Primary
PA53516
CA
Other
Enumeration date
09/25/2015
Last updated
10/06/2016
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