National Provider Identifier

Carol Blood Booth

Carol Blood Booth is listed in the NPPES registry with a primary specialty of Specialist in Ithaca, NY and a listed phone number of (607) 277-8020.

NPI 1629331566Ithaca, NYSpecialist

Profile Overview

NPI
1629331566
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 15, 2012
Last Updated
July 21, 2022

Practice Location

  • 1001 W Seneca St
  • Ithaca, NY 14850-3342

Phone: (607) 277-8020

Specialties

  • Specialist (174400000X)
Full Record
NPI
1629331566
Entity Type
Individual
Last Name
Booth
First Name
Carol
Middle Name
Blood
Name Prefix
Mrs.
Mailing Street Address
1001 W Seneca St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3342
Mailing Country
US
Mailing Phone
(607) 277-8020
Mailing Fax
(607) 277-7961
Practice Street Address
1001 W Seneca St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3342
Practice Country
US
Practice Phone
(607) 277-8020
Practice Fax
(607) 277-7961
Enumeration Date
June 15, 2012
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)