Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW S BLACK, DPM, PA
ActiveDR. ANDREW S BLACK, DPM, PA is a Podiatrist healthcare provider located in HORSEHEADS, New York. NPI 1073552105 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · HORSEHEADS, NY
Registration Details
- NPI Number
- 1073552105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2006 (20.235523144517 yrs)
- Last Updated
- Nov 20, 2020
- Licenses
-
006707 (NY)006707 (NY)
Practice Information
- Address
-
100 JOHN ROEMMELT DR STE 102HORSEHEADS, NY, 148458302Browse NY providers · Browse ZIP 14845
- Phone
- 6077951666
- Fax
- 6077960839
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.