Individual
MR. HARVEY E BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5813 EAST SEYMOUR ST, CICERO, NY 13039
(315) 699-2789
(315) 699-6251
Mailing address
5813 EAST SEYMOUR ST, CICERO, NY 13039
(315) 699-2789
(315) 699-6251
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
149425
NY
Other
Enumeration date
09/01/2006
Last updated
12/01/2010
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