Individual provider · Type 1 NPI

Kaitlyn E. Booth, PA

Surgical Physician Assistant · New York, NY

NPI number 1700180106 Active

Practice location

560 1st Ave
New York, NY 10016-6402

Call (212) 263-0250 Map

Mailing address

111 Galway Pl
Teaneck, NJ 07666-3640

Other practice locations

  • 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 · (201) 943-9100

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X25MP00245300 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1700180106

Kaitlyn E. Booth, PA's National Provider Identifier is 1700180106, issued on Dec 29, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Aug 9, 2022.