Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK BOOTH, P.A.
ActiveMARK BOOTH, P.A. is a Physician Assistant healthcare provider located in AURORA, New York. NPI 1699130427 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · AURORA, NY
Registration Details
- NPI Number
- 1699130427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2015 (10.66175720513 yrs)
- Last Updated
- Sep 12, 2016
- License
-
019393 (NY)
Practice Information
- Address
-
18 WELLS RDAURORA, NY, 130268724Browse NY providers · Browse ZIP 13026
- Phone
- 3153643388
- Fax
- 3153645254
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.