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BOOTH MEDICAL ASSOCIATES PC NPI 1912996703


NPI Information

NPI: 1912996703
Provider Name: BOOTH MEDICAL ASSOCIATES PC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
5645 MAIN ST
FLUSHING, NY
ZIP 11355
Phone: (718) 670-2236
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BOOTH MEDICAL ASSOCIATES PC is an allergy immunology in Flushing, NY. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. BOOTH MEDICAL ASSOCIATES PC NPI is 1912996703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-2236

The provider's authorized official is Terrence Brady .
The authorized official title is Administrator and has the following contact phone number (516) 827-9845.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyYes
2207N00000XDermatologyX
3207R00000XInternal MedicineX
4207RC0000XInternal MedicineCardiovascular DiseaseX
5207RC0200XInternal MedicineCritical Care MedicineX
6207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismX
7207RG0100XInternal MedicineGastroenterologyX
8207RG0300XInternal MedicineGeriatric MedicineX
9207RH0003XInternal MedicineHematology & OncologyX
10207RI0008XInternal MedicineHepatologyX
11207RI0200XInternal MedicineInfectious DiseaseX
12207RN0300XInternal MedicineNephrologyX
13207RP1001XInternal MedicinePulmonary DiseaseX
14207RR0500XInternal MedicineRheumatologyX
152084N0400XPsychiatry & NeurologyNeurologyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W9411OTHERNEW YORKBCBS
200923859MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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