Individual
DANA BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
224 ALEXANDER ST, ROCHESTER, NY 14607-4055
(585) 922-7700
Mailing address
PO BOX 528, LIVONIA, NY 14487-0528
(585) 300-6505
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
584291
NY
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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