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Samuel Kimball Booth, DO
Student in an Organized Health Care Education/Training Program in Buffalo, New York
NPI 1972208700

Samuel Kimball Booth is a Student in an Organized Health Care Education/Training Program based in Buffalo, NY. Samuel Kimball Booth practices in Buffalo, NY and has the professional credentials of DO. The NPI Number for Samuel Kimball Booth is 1972208700 and holds a License No. (New York).

The current practice location address for Samuel Kimball Booth is 955 Main St Ste 7230, Buffalo, NY and can be reached out via phone at 716-829-2012.

Location: 955 Main St Ste 7230, Buffalo, NY, 14203-1121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972208700
Provider Name
Samuel Kimball Booth
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
955 Main St Ste 7230, Buffalo, NY, 14203-1121
Phone Number
716-829-2012
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
955 Main St Ste 7230
City
Buffalo
State
New York
Zip
14203-1121
Phone Number
716-829-2012
Fax Number
person
Provider Business Mailing Address Details
Address
955 Main St Ste 7230
City
Buffalo
State
New York
Zip
14203-1121
Phone Number
716-829-2012
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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