Booker, Thomas John

Booker, Thomas John is an individual health care provider with primary practice located at 95 Crystal Run Rd , Middletown NY 10941-7001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Booker, Thomas John can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
95 Crystal Run Rd Middletown NY 10941-7001
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 249377 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 249377 New York

Profile Details

NPI number 1255344644
LBN Legal business name Booker, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Aug 16th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255344644 NPPES
New York MEDICAID 03021749

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