| NPI Details | |
|---|---|
| NPI | 1528381498 |
| Gender | Female |
| Enumeration Date | 03/08/2010 |
| Last Updated | 03/08/2010 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 1050 W GENESEE ST SYRACUSE NY, 13204-2215, US |
|
| Phone | (315) 424-3744 |
| Fax | (315) 424-3745 |
| Business Location | |
|---|---|
| 1050 W GENESEE ST SYRACUSE NY, 13204-2215, US |
|
| Phone | (315) 424-3744 |
| Fax | (315) 424-3745 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 164W00000X |
| License State | New York |
| License Number | 10-208405 |
| Remove 1528381498 NPI Number | |
According to our database, Carla D. Booker NPI is 1528381498, taxonomy code is 164W00000X and license number is 10-208405, license state is located at New York. Carla D. Booker physically located at 1050 W Genesee St, Syracuse NY, 13204-2215. NPI Number Carla D. Booker has the Individual type.
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1528381498 NPI number is provided on an as is basis without warranty of any kind. 1528381498 is maintained by the National Plan & Provider Enumeration System. The contents of Carla D. Booker are for informational purposes only.
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