Kendall Black

NPI 1790966984 - Physical Therapist - 225100000X

NPI Details
NPI 1790966984
Gender Female
Enumeration Date 11/16/2007
Last Updated 11/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1317 3RD AVE
6TH FLOOR
NEW YORK NY, 10021-2995, US
Phone (212) 288-2242
Fax (212) 288-4388
Business Location
1317 3RD AVE
6TH FLOOR
NEW YORK NY, 10021-2995, US
Phone (212) 288-2242
Fax (212) 288-4388
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 029765-1
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According to our database, Kendall Black NPI is 1790966984, taxonomy code is 225100000X and license number is 029765-1, license state is located at New York. Kendall Black physically located at 1317 3rd Ave, New York NY, 10021-2995. NPI Number Kendall Black has the Individual type.

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1790966984 NPI number is provided on an as is basis without warranty of any kind. 1790966984 is maintained by the National Plan & Provider Enumeration System. The contents of Kendall Black are for informational purposes only.