Lois M. Black, Ph.d. | |
293 Rugby Rd Brooklyn NY 11226-4551 | |
(718) 941-2437 | |
Not Available |
Full Name | Lois M. Black, Ph.d. |
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Speciality | Clinic/center |
Location | 293 Rugby Rd, Brooklyn, New York |
Authorized Official Name and Position | Lois M Black (SOLE OWNER) |
Authorized Official Contact | 7189412437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lois M. Black, Ph.d. 293 Rugby Rd Brooklyn NY 11226-4551 Ph: (718) 941-2437 | Lois M. Black, Ph.d. 293 Rugby Rd Brooklyn NY 11226-4551 Ph: (718) 941-2437 |
NPI Number | 1104037266 |
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Provider Enumeration Date | 05/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1104037266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 010125. (New York) | Primary |
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