Individual provider · Type 1 NPI

Joseph Tyler Booker

Specialist · Middle Island, NY

NPI number 1962092825 Active

Practice location

35 Longwood Rd
Middle Island, NY 11953-2045

Call (631) 281-6800 Map

Mailing address

PO Box 12
Middle Island, NY 11953-0012

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962092825

Joseph Tyler Booker's National Provider Identifier is 1962092825, issued on Jan 24, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Middle Island, NY. The record was last updated on Jan 24, 2021.