Individual
DR. ANDREW S BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, PA
Contact information
Practice address
100 JOHN ROEMMELT DR STE 102, HORSEHEADS, NY 14845-8302
(607) 795-1666
(607) 796-0839
Mailing address
571 SAINT JOSEPHS BLVD, FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
006707
NY
213ES0131X
Foot Surgery Podiatrist
006707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04308852
—
NY
05
—
103755030
—
PA
Enumeration date
06/05/2006
Last updated
04/19/2026
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